PEDS Exam 1 (Test bank Questions) and 100% Correct Answers

PEDS Exam 1 (Test bank Questions) and 100% Correct Answers


1. Which nursing role is not directly involved when providing family-
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centered approach to the pediatric population?
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1. Advocacy
2. Case management r



3. Patient education r



4. Researcher: 4. Researcher r r



2. A nurse is working with pediatric clients in a research facility.The nurse recognizes that fe
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deral guidelines are in place that delineate which pediatrics clients must give assent for part
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icipation in research trials. Based upon the clients age, the nurse would seek assent from w
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hich children? Select all that apply.
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1. The precocious 4-year-old starting as a cystic fibrosis research-study par- ticipant.
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2. The 7-year-old leukemia client electing to receive a newly developed med-
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ication, now being researched.
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3. The 10-year-old starting in an investigative study for clients with precocious puberty.
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4. The 13-year- r



old client beginning participation in a research program for ADHD treatments.: 2.The 7-
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year-
old leukemia client electing to receive a newly developed medication, now being researched.
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3. The 10-year-old starting in an investigative study for clients with precocious puberty.
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4. The 13-year-old client beginning participation in a research program for ADHD treatments.
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3.The nurse in a pediatric acute-
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care unit is assigned the following tasks. Which task is not appropriate for the registered to n
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urse complete? r



1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
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2. Listen to the concerns of an adolescent about being out of school for a lengthy surgic
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al recovery.
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3. Provide information to a mother of a newly diagnosed 4-year-
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,old diabetic about local support-group options.
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4. Diagnose a 6-year- r r



old with Diversional Activity Deficit related to placement in isolation.: 1. Diagnose an 8-year-
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old with acute otitis media and prescribe an antibiotic.
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4.A 7-year-old child is admitted for acute appendicitis.The parents are ques-
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tioning the nurse about expectations during the childs recovery.Which infor-
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mation tool would be most useful in answering a parents questions about the timing of key ev
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ents?
1. Healthy People 2020
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,2. Clinical pathways r



3. Child mortality statistics r r



4. National clinical practice guidelines: 2. Clinical pathways r r r r r r



5. The nurse recognizes that the pediatric client is from a cultural background different from t
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hat of the hospital staff. Which goal is most appropriate for this client when planning nursing
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care?
1. Overlook or minimize the differences that exist. r r r r r r



2. Facilitate the family's ability to comply with the care needed. r r r r r r r r r



3. Avoid inadvertently offending the family by imposing the nurses perspec- tive.
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4. Encourage complementary beneficial cultural practices as primary thera- r r r r r r r



pies.: 2. Facilitate the family's ability to comply with the care needed.
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6. The telephone triage nurse at a pediatric clinic knows each call is impor-
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tant. Which call would require extra attentiveness from the registered nurse because of a
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n increased risk of mortality?
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1. A 3-week-old infant born at 35 weeks gestation with gastroenteritis
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2. A term 2-week-old infant of American Indian descent with an upper respira- tory infection
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3. A post term 4-week-old infant non-
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Hispanic black descent with moderate emesis after feeding
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4. A 1-week-old infant born at 40 weeks gestation with symptoms of colic: 1. A 3-week-
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old infant born at 35 weeks gestation with gastroenteritis
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7. Despite the availability of Childrens Health Insurance Programs (CHIP), many eligible c
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hildren are not enrolled.Which nursing intervention would be the most appropriate to help
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children become enrolled in CHIP? r r r r



1. Assessment of the details of the familys income and expenditures r r r r r r r r r



2. Case management to limit costly, unnecessary duplication of services
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3. To advocate for the child by encouraging the family to investigate its CHIP eligibility
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4. To educate the family about the need for keeping regular well-
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childvisit appointments: 3.To advocate for the child by encouraging the family to investigate its
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CHIP eligibility r



8. A supervisor is reviewing the documentation of the nurses in the unit.Which client docume
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ntation is the most accurate and contains all the required part for a narrative entry?
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, 1. 2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine obtained, spe
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cimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mothers ar
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ms following catheter removal. M. May RN
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2. 1/9/05 2 pm NG tube placement confirmed and irrigated with 30 ml sterile
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