Pediatric Exam 1
The nurse in a pediatric acute care unit is assigned the following tasks.
Based on recognition that the action defined requires training beyond
the preparation of a registered nurse, the nurse would refuse to:
1.Diagnose a six-year-old with diversional activity deficit related to
placement in isolation.
2.Listen to the concerns of an adolescent about being out of school
for a lengthy surgical recovery.
3. Diagnose an eight-year-old with acute otitis media and prescribe an
antibiotic.
4.Provide information to a mother of a newly diagnosed four-year-old
diabetic about local support group options. correct answers3
Despite the availability of Children's Health Insurance Programs (CHIP),
many eligible children are not enrolled. The nursing intervention that can
best help eligible children to become enrolled is:
1. Educating the family about the need for keeping regular well-child visit
appointments.
2. Assessing details of the family's income and expenditures.
3. Limiting costly, unnecessary duplication of services through case
management.
4.Advocating for the child by encouraging the family to investigate
CHIP eligibility. correct answers4
A nurse is examining different nursing roles. Which best illustrates an
advanced practice nursing role?
5.A clinical nurse specialist with whom other nurses consult for her
expertise in caring for high-risk children
6. A clinical nurse specialist working as a staff nurse on a medical-surgical
pediatric unit
7. A registered nurse who is the circulating nurse in surgery
8. A registered nurse who is the manager of a large pediatric unit correct
answers1
The role of the registered nurse as a nurse educator is to:
1. Provide primary care for healthy children.
2.Assist the family in making informed decisions by providing
information about the pros and cons of the treatment plan.
3. Assist the primary care nurse with procedures requiring advanced
practice skills.
4.Communicate with the hospitalized school-aged child's classroom
teacher to assist the child in achieving classroom goals. correct answers2
A 7-year-old child has been admitted for acute appendicitis. The parents are
questioning the nurse about expectations during the child's recovery. Which
information tool would be most useful in answering a parent's questions
about timing of key events?
9. Healthy People 2020
10.National clinical practice guidelines
,3. Child mortality statistics
4. Critical clinical pathways correct answers4
The telephone triage nurse at a pediatric clinic knows that each call is
important. However, recognizing that infant deaths are most frequent in this
group, the nurse must be extra attentive during the call from the parent of
an infant who is:
1. Between six and eight months old.
2. Of a Native American family.
3. Of a non-Hispanic black family.
4. Younger than three weeks old. correct answers4
When discussing injury prevention with the parents of a toddler, which
statement indicates teaching has been successful? "The leading cause of
death in children is:
1. Unintentional injury."
2. Infectious disease."
3. Congenital anomalies."
4. Cancer." correct answers1
With regard to child mortality statistics, which nursing intervention
would be most effective in decreasing mortality from unintentional
injury?
5. Teaching children about dangers of contact sports
6. Encouraging parents to obtain genetic counseling
7. Educating parents about the benefits of immunizations
8. Teaching parents about proper use of vehicle restraint seats correct
answers4
With regard to infant mortality statistics, which nursing intervention
would be most effective in decreasing post-neonatal mortality?
9. Teaching parents about "baby-proofing" their home
10.Educating parents on acceptable feeding techniques
11.Providing support for first-time mothers
12.Educating parents on the importance of positioning the baby on his
back whenever sleeping correct answers4
Despite the availability of the Children's Health Insurance Program
(CHIP), families often fail to obtain coverage for eligible children
because:
1. They do not see the importance of insurance coverage.
2. Families do not have adequate time to complete the enrollment
process.
3. They do not know their child is eligible.
4. Parents do not value medical interventions for their children. correct
answers3
A 12-year-old pediatric client is in need of surgery. The health care
member who is legally responsible for obtaining informed consent for an
invasive procedure is the:
1. Nurse.
2. Social worker.
3. Unit secretary.
4. Physician. correct answers4
,A child is being prepared for an invasive procedure in the presence of
the child's babysitter. The single mother of the child has legal custody
but is not present. After details of the procedure are explained, the legal
informed consent for treatment on behalf of a minor child will be
obtained from:
1. The divorced parent without custody.
2. The babysitter with written proxy consent.
3. A grandparent who lives in the home with the child.
4. The cohabitating unmarried boyfriend of the child's mother. correct
answers2
A 12-year-old child is being admitted to the unit for a surgical procedure.
The child is accompanied by two parents and a younger sibling. The level
of involvement in treatment decision making for this child is:
1. That of a mature minor.
2. That of an emancipated minor.
3. That of assent.
4. None. correct answers3
All of the following adolescents are in the emergency room for
treatment. Which adolescent would be an emancipated minor?
5.The 15-year-old adolescent who disagrees with the parents in regard to
the medical plan of care
6. The 14-year-old adolescent who understands the risks and benefits of
treatment
7. The 17-year-old adolescent who is self-supporting and maintains her own
apartment
8.The 16-year-old adolescent who ran away from home and is living
with a friend correct answers3
A nurse is working with pediatric clients in a research facility. The nurse
recognizes that federal guidelines are in place to delineate which pediatrics
clients must give assent for participation in research trials. Based upon the
client's age, the nurse would seek assent from which children?
Standard Text: Select all that apply.
9.The 13-year-old client beginning participation in a research
program for ADHD treatments
10.The precocious four-year-old starting as a cystic fibrosis research
study participant
11.The 10-year-old starting in an investigative study for clients with
precocious puberty
12.The seven-year-old leukemia client electing to receive a newly
developed medication being researched correct answers1,3,4
A supervisor is reviewing the documentation of the nurses in the unit. The
documentation that most accurately and correctly contains all the
required parts for a narrative entry is the entry that reads:
1."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 mother's arms following catheter removal.
M. May RN"
, 2."1/9/05 2 p.m. g-tube accessed, positive air gurgle over stomach: 5 ml
air injected, 10 ml residual stomach contents returned to stomach, PediaSure
formula hung on Kangaroo pump infusing at 60 ml/hr for 1 hour. Child
grunting intermittently throughout procedure. K. Earnst RN"
3."Feb. '05 Portacath assessed with Huber needle. Blood return present.
Flushed with NaCl sol., IV gamma globulins hung and infusing at 30 ml/hr.
Child smiling and playful throughout the procedure. P. Potter, RN"
4. "4:0 correct answers2
The pediatric nurse's best defense against an accusation of malpractice or
negligence is that the nurse:
1. Is a nurse practitioner or clinical nurse specialist.
2. Met the Society of Pediatric Nurses standards of practice.
3. Was acting on the advice of the nurse manager.
4. Followed the physician's written orders. correct answers2
Following a traumatic birth, an infant is admitted to the neonatal
intensive care unit. When the grandparents arrive at the hospital, they
question the nurse caring for the baby about its condition and plan of
care. The nurse who provides this information without permission from
the parents would be committing:
1. Negligence
2. A breach of privacy
3. Malpractice
4. A breach of ethics correct answers2
While changing the diaper on a newborn in the presence of the mother, the
nurse notes a belly binder wrapped around the umbilical cord. When
questioned, the mother states this is the way the umbilical area is cared for
in her culture. The nurse should:
1.Accept this practice as a cultural variation and allow the mother to
care for the umbilicus.
2.Explain to the mother the risks associated with belly binders and
encourage her to remove it.
3. Remove the belly binder and discard it.
4. Replace the belly binder with a coin as a safer cultural practice. correct
answers2
The nursing supervisor is observing the staff on the pediatric unit.
Which nurse is providing family-centered care?
5. The nurse who delays morning care until after the family has visited
the child
6.The nurse who suggests the mother take a break and get breakfast
while the nurse changes the child's dressings
7.While admitting a new client, the nurse explains the visitation rules of
the unit to the parents and grandparents.
8.During discharge planning, the nurse recognizes the mother is unable
to perform wound care on the client, so the nurse works with the family to
determine which family member will be available to meet this child's health
care needs. correct answers4
The nurse in a pediatric acute care unit is assigned the following tasks.
Based on recognition that the action defined requires training beyond
the preparation of a registered nurse, the nurse would refuse to:
1.Diagnose a six-year-old with diversional activity deficit related to
placement in isolation.
2.Listen to the concerns of an adolescent about being out of school
for a lengthy surgical recovery.
3. Diagnose an eight-year-old with acute otitis media and prescribe an
antibiotic.
4.Provide information to a mother of a newly diagnosed four-year-old
diabetic about local support group options. correct answers3
Despite the availability of Children's Health Insurance Programs (CHIP),
many eligible children are not enrolled. The nursing intervention that can
best help eligible children to become enrolled is:
1. Educating the family about the need for keeping regular well-child visit
appointments.
2. Assessing details of the family's income and expenditures.
3. Limiting costly, unnecessary duplication of services through case
management.
4.Advocating for the child by encouraging the family to investigate
CHIP eligibility. correct answers4
A nurse is examining different nursing roles. Which best illustrates an
advanced practice nursing role?
5.A clinical nurse specialist with whom other nurses consult for her
expertise in caring for high-risk children
6. A clinical nurse specialist working as a staff nurse on a medical-surgical
pediatric unit
7. A registered nurse who is the circulating nurse in surgery
8. A registered nurse who is the manager of a large pediatric unit correct
answers1
The role of the registered nurse as a nurse educator is to:
1. Provide primary care for healthy children.
2.Assist the family in making informed decisions by providing
information about the pros and cons of the treatment plan.
3. Assist the primary care nurse with procedures requiring advanced
practice skills.
4.Communicate with the hospitalized school-aged child's classroom
teacher to assist the child in achieving classroom goals. correct answers2
A 7-year-old child has been admitted for acute appendicitis. The parents are
questioning the nurse about expectations during the child's recovery. Which
information tool would be most useful in answering a parent's questions
about timing of key events?
9. Healthy People 2020
10.National clinical practice guidelines
,3. Child mortality statistics
4. Critical clinical pathways correct answers4
The telephone triage nurse at a pediatric clinic knows that each call is
important. However, recognizing that infant deaths are most frequent in this
group, the nurse must be extra attentive during the call from the parent of
an infant who is:
1. Between six and eight months old.
2. Of a Native American family.
3. Of a non-Hispanic black family.
4. Younger than three weeks old. correct answers4
When discussing injury prevention with the parents of a toddler, which
statement indicates teaching has been successful? "The leading cause of
death in children is:
1. Unintentional injury."
2. Infectious disease."
3. Congenital anomalies."
4. Cancer." correct answers1
With regard to child mortality statistics, which nursing intervention
would be most effective in decreasing mortality from unintentional
injury?
5. Teaching children about dangers of contact sports
6. Encouraging parents to obtain genetic counseling
7. Educating parents about the benefits of immunizations
8. Teaching parents about proper use of vehicle restraint seats correct
answers4
With regard to infant mortality statistics, which nursing intervention
would be most effective in decreasing post-neonatal mortality?
9. Teaching parents about "baby-proofing" their home
10.Educating parents on acceptable feeding techniques
11.Providing support for first-time mothers
12.Educating parents on the importance of positioning the baby on his
back whenever sleeping correct answers4
Despite the availability of the Children's Health Insurance Program
(CHIP), families often fail to obtain coverage for eligible children
because:
1. They do not see the importance of insurance coverage.
2. Families do not have adequate time to complete the enrollment
process.
3. They do not know their child is eligible.
4. Parents do not value medical interventions for their children. correct
answers3
A 12-year-old pediatric client is in need of surgery. The health care
member who is legally responsible for obtaining informed consent for an
invasive procedure is the:
1. Nurse.
2. Social worker.
3. Unit secretary.
4. Physician. correct answers4
,A child is being prepared for an invasive procedure in the presence of
the child's babysitter. The single mother of the child has legal custody
but is not present. After details of the procedure are explained, the legal
informed consent for treatment on behalf of a minor child will be
obtained from:
1. The divorced parent without custody.
2. The babysitter with written proxy consent.
3. A grandparent who lives in the home with the child.
4. The cohabitating unmarried boyfriend of the child's mother. correct
answers2
A 12-year-old child is being admitted to the unit for a surgical procedure.
The child is accompanied by two parents and a younger sibling. The level
of involvement in treatment decision making for this child is:
1. That of a mature minor.
2. That of an emancipated minor.
3. That of assent.
4. None. correct answers3
All of the following adolescents are in the emergency room for
treatment. Which adolescent would be an emancipated minor?
5.The 15-year-old adolescent who disagrees with the parents in regard to
the medical plan of care
6. The 14-year-old adolescent who understands the risks and benefits of
treatment
7. The 17-year-old adolescent who is self-supporting and maintains her own
apartment
8.The 16-year-old adolescent who ran away from home and is living
with a friend correct answers3
A nurse is working with pediatric clients in a research facility. The nurse
recognizes that federal guidelines are in place to delineate which pediatrics
clients must give assent for participation in research trials. Based upon the
client's age, the nurse would seek assent from which children?
Standard Text: Select all that apply.
9.The 13-year-old client beginning participation in a research
program for ADHD treatments
10.The precocious four-year-old starting as a cystic fibrosis research
study participant
11.The 10-year-old starting in an investigative study for clients with
precocious puberty
12.The seven-year-old leukemia client electing to receive a newly
developed medication being researched correct answers1,3,4
A supervisor is reviewing the documentation of the nurses in the unit. The
documentation that most accurately and correctly contains all the
required parts for a narrative entry is the entry that reads:
1."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 mother's arms following catheter removal.
M. May RN"
, 2."1/9/05 2 p.m. g-tube accessed, positive air gurgle over stomach: 5 ml
air injected, 10 ml residual stomach contents returned to stomach, PediaSure
formula hung on Kangaroo pump infusing at 60 ml/hr for 1 hour. Child
grunting intermittently throughout procedure. K. Earnst RN"
3."Feb. '05 Portacath assessed with Huber needle. Blood return present.
Flushed with NaCl sol., IV gamma globulins hung and infusing at 30 ml/hr.
Child smiling and playful throughout the procedure. P. Potter, RN"
4. "4:0 correct answers2
The pediatric nurse's best defense against an accusation of malpractice or
negligence is that the nurse:
1. Is a nurse practitioner or clinical nurse specialist.
2. Met the Society of Pediatric Nurses standards of practice.
3. Was acting on the advice of the nurse manager.
4. Followed the physician's written orders. correct answers2
Following a traumatic birth, an infant is admitted to the neonatal
intensive care unit. When the grandparents arrive at the hospital, they
question the nurse caring for the baby about its condition and plan of
care. The nurse who provides this information without permission from
the parents would be committing:
1. Negligence
2. A breach of privacy
3. Malpractice
4. A breach of ethics correct answers2
While changing the diaper on a newborn in the presence of the mother, the
nurse notes a belly binder wrapped around the umbilical cord. When
questioned, the mother states this is the way the umbilical area is cared for
in her culture. The nurse should:
1.Accept this practice as a cultural variation and allow the mother to
care for the umbilicus.
2.Explain to the mother the risks associated with belly binders and
encourage her to remove it.
3. Remove the belly binder and discard it.
4. Replace the belly binder with a coin as a safer cultural practice. correct
answers2
The nursing supervisor is observing the staff on the pediatric unit.
Which nurse is providing family-centered care?
5. The nurse who delays morning care until after the family has visited
the child
6.The nurse who suggests the mother take a break and get breakfast
while the nurse changes the child's dressings
7.While admitting a new client, the nurse explains the visitation rules of
the unit to the parents and grandparents.
8.During discharge planning, the nurse recognizes the mother is unable
to perform wound care on the client, so the nurse works with the family to
determine which family member will be available to meet this child's health
care needs. correct answers4
