Test Bank Pediatric Nursing: Critical
Components of Nursing Care 3rd Edition
Rudd
, Rudd 1
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
Chapter 1 Issues and Trends in Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
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?
1. “Nursing is a general practice; all nurses must know how to take care of all ages of
patients.”
2. “As a pediatric nurse, you would get to care for babies and little kids as well as
children through their teenage years.”
3. “What you are describing is actually a neonatal nurse. Neonatal nurses work with
newborn babies, toddlers, and preschool-age children.”
4. “Being a pediatric nurse requires a master’s degree, so be sure to work hard in
school!”
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?
1. Pediatric nursing involves care based on the developmental level of the patient.
2. Pediatric nursing involves the patient’s family in the plan of care.
3. Pediatric nursing in based on prevention of infectious diseases.
4. Pediatric nursing involves cultural sensitivity in patient care.
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?
1. The American Indian and Alaska Native population represent one-fifth of the
pediatric population.
2. About half of the children fall in the category of something other than White non-
Hispanic.
3. The population of Asian children decreased from 2015 to 2018.
4. There was no change in the population of Non-Hispanic children who represent
two or more races between 2015 and 2018.
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?
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar control
and overall well-being.”
2. “You can still drink alcohol, in moderation, if you control the sugar spike with
more insulin.”
3. “Prepare for alcohol intake with more water and less carbohydrates before drinking
to slow sugar spikes.”
4. “It is understandable that you want to be included, but perhaps we can work out a
plan on how to work through those situations.”
, Rudd 2
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
5. Which statement best describes the common core concepts of the different models of pediatric
nursing?
1. All models focus on the open communication between the child and nurse.
2. All models focus on importance of family relationship to the child.
3. All models focus on safeguarding the child’s dignity during care.
4. All models focus on coordination of care needs that arise during illness.
6. Which of the following tasks is associated with the pediatric medical home care model of pediatric
nursing?
1. The nurse refers the family to a childhood cancer support group prior to discharge
from the hospital.
2. The nurse includes a simple explanation of the procedure to the child based on the
child’s developmental level.
3. The nurse includes the family’s cultural celebrations and observations while
providing care to the child.
4. The nurse develops the plan of care with the child and family as the focal point of
the interventions.
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?
1. The nurse should discuss with the family the options of performing the
intervention without the child’s knowledge.
2. The nurse should explain to the child that this is necessary and promise a reward at
the end of the research project.
3. The nurse should refuse to perform the intervention until the child consents to the
intervention and project.
4. The nurse should discuss the pros and cons of the research project with the child
and focus on the outcomes.
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?
1. Maintaining a sterile field for a procedure with a restless toddler
2. Communicating with the blended family on regular basis
3. Treating children with antibiotic-resistant illnesses
4. Caring for a larger number of children with autism spectrum disorders and
childhood depression
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?
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 implement and develop research in nursing practice.
4. The nurse must implement a plan to obtain certification in pediatrics.
, Rudd 3
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
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?
1. Remove all unhealthy snacks from the vending machines.
2. Have a poster contest on healthy eating options.
3. Survey the student population during lunch breaks.
4. Engage the students in healthy choices with cooking lessons.
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?
1. Procedure with rationale to administer human papilloma vaccine to the middle
school population
2. Study review of the incidence of bullying and intimidation in the elementary
school population
3. Demographic study of the U.S. population with regard to cultural diversity and
practices
4. How to provide individual health care education for the children without parental
interference
12. Which of the following continuing education courses would best enhance the pediatric nurse’s
practice in relationship to current trends?
1. Evidence-based practice on improving antibiotic adherence with education to the
family unit
2. Evidence-based practice on proper administration of antibiotics for children with
autoimmune diseases
3. How to enhance communication with children in regards to adherence to antibiotic
use
4. How to decrease instances of exacerbation of infections of children with
autoimmune diseases with antibiotics
13. The pediatric nurse is developing interventions for a school-aged child based on the nursing
diagnosis of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choices
as evidenced by patient’s mother’s food diary for the family and child’s statements of food
preferences. Which of the following would be an appropriate nursing intervention?
1. Provide the child and family with information from https://www.MyPlate.gov for
healthy food options.
2. Increase the child’s activity by incorporating the child’s friends into a plan of
healthy exercise options.
3. Explain the importance of balancing diet and exercise to prevent obesity to the
child and family.
4. Provide information on the increased risk for potential disease processes such as
diabetes and hypertension.
14. The nurse is developing interventions for a transgender adolescent based on the nursing diagnosis
decreased self-esteem related to transgender identity as evidenced by statements of feeling
“worthless, different, and alone.” What would be the most appropriate intervention based on the
diagnosis?
1. Give positive feedback on personal choices as appropriate.
, Rudd 4
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
2. Provide gender-affirming care to transgender youth.
3. Provide information on support groups for patient and family.
4. Assess risk factors for depression and suicidal thoughts.
15. The wpediatric wnurse wis wproviding wcare wto wan w8-year-old wclient wwho whas wDown’s
wsyndrome wand wwants wto wensure wthey ware wproviding wevidence-based wcare. wWhich wof wthe
wfollowing wresources wwould wbest woffer wevidence-based wpractice wguidelines wrelated wto wthe
wcare wof wthis wpatient?
1. Journal wof wSpecialists win wPediatric wNursing
2. Journal wof wChild wand wAdolescent wPsychiatric wNursing
3. National wDatabase wof wNursing wQuality wIndicators
4. American wJournal wof wMaternal/Child wNursing
Multiple wResponse
Identify wone wor wmore wchoices wthat wbest wcomplete wthe wstatement wor wanswer wthe wquestion.
16. wThe wnurse wmust wobtain wdata wfor wa wroutine wassessment wof wthe w8-month-old wpatient.
wWhich wof wthe wfollowing ware wpart wof wthat wassessment? wSelect wall wthat wapply.
1. Measure wthe whead wcircumference wand wrecord wresults.
2. Enter wlength wand wweight win wthe wgrowth wchart.
3. Assess wbilateral whand wgrasp wstrength wand wfunction.
4. Input wthe wTanner wscale wresults win wthe wchart.
5. List wmost wrecent wimmunizations win wthe wchart.
17. wWhich wof wthe wfollowing wexamples waccurately wrepresent wthe wunique wrole wof wthe wpediatric
wnurse? wSelect wall wthat wapply.
1. The wnurse wdeveloped wan wintervention wthat wcorrelated wwith wthe wpatient’s
wparticular wcultural wpractice.
2. The wnurse wshared winformation won wthe wprogress wand winterventions wwith
wthe wfamily wand wpatient.
3. The wnurse wengaged win wone-to-one wconversations wwith wthe wfamily wmembers
was wwell was wthe wpatient.
4. The wnurse wrequested wthe wfamily wto wleave wduring winvasive wprocedures wto
wmaintain wprivacy.
5. The wnurse wdeveloped winterventions wbased won wthe wknowledge wof whuman
wgrowth wand wdevelopment.
18. wThe wnurse wis wdeveloping wa whealth wfair wfor wchildren waged w5 wand w6 wyears. wWhich wof
wthe wfollowing wwould wbe wappropriate wtopics wfor wthis wpopulation wbased won wcurrent
wtrends? wSelect wall wthat wapply.
1. How wto w deal wwith wbullying won wthe wInternet
2. How wto wprevent wthe wflu wwith whand wwashing
3. How wto wchoose wand weat whealthy wfoods
4. How wto wrecognize wsuicidal wthoughts
5. Ways wto wstay wactive wand wstay whealthy
, Rudd 5
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
19. wThe wschool wnurse wis wproviding wcare wto wthe wstudent wpopulation win wthe wurban welementary
wschool. wThe wnurse wnotes wthat wthe wchildren wdo wnot wfeel wsafe wplaying woutside wduring
wrecess wdue wto wthe wrecent wviolent wincidents win wthe wsurrounding warea. wWhat ware wsome
wdisease wprocesses wthat wthe wnurse wmay wnotice wdue wto wthis winactivity? wSelect wall wthat
wapply.
1. The wgeneral wpopulation wis wat whigher wrisk wfor wobesity.
2. The wstudents ware wat whigher wrisk wfor wincreased wbullying.
3. The wstudents ware wat wa whigher wrisk wfor wlearning wdisabilities.
4. The wstudents ware wat whigher wrisk wfor wdiabetes wmellitus.
5. The wstudents ware wat whigher wrisk wfor wearlier wonset wof wpuberty.
20. wThe wpediatric wnurse wis wproviding wcare wto wa w5-year-old wpatient wfor wspeech wimpediments
wthat wwere wcaused wby wrepeated wincidences wof wotitis wmedia. wWhich wof wthe wfollowing wis
wan wexample wof wcurrent wissues wregarding wthis wtype wof wmedical wproblem? wSelect wall
wthat wapply.
1. Increased wadmissions wbased won wenvironmental wrisk wfactors, wsuch was wsmoking
2. Increased wadmissions wbased won wknowledge wdeficits wdue wto wlanguage wbarriers
3. Increased wawareness wof wchildhood whealth wissues wfrom wsocial wmedia wand wInternet
4. Shift win wthe wfocus wof wmedical wcare wfrom wdisease wtreatment wto wdisease wprevention
5. Deficient wknowledge wthat whas wnegatively wimpacted wthe wadherence wto wthe
wantibiotic wregimen
Components of Nursing Care 3rd Edition
Rudd
, Rudd 1
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
Chapter 1 Issues and Trends in Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
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?
1. “Nursing is a general practice; all nurses must know how to take care of all ages of
patients.”
2. “As a pediatric nurse, you would get to care for babies and little kids as well as
children through their teenage years.”
3. “What you are describing is actually a neonatal nurse. Neonatal nurses work with
newborn babies, toddlers, and preschool-age children.”
4. “Being a pediatric nurse requires a master’s degree, so be sure to work hard in
school!”
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?
1. Pediatric nursing involves care based on the developmental level of the patient.
2. Pediatric nursing involves the patient’s family in the plan of care.
3. Pediatric nursing in based on prevention of infectious diseases.
4. Pediatric nursing involves cultural sensitivity in patient care.
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?
1. The American Indian and Alaska Native population represent one-fifth of the
pediatric population.
2. About half of the children fall in the category of something other than White non-
Hispanic.
3. The population of Asian children decreased from 2015 to 2018.
4. There was no change in the population of Non-Hispanic children who represent
two or more races between 2015 and 2018.
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?
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar control
and overall well-being.”
2. “You can still drink alcohol, in moderation, if you control the sugar spike with
more insulin.”
3. “Prepare for alcohol intake with more water and less carbohydrates before drinking
to slow sugar spikes.”
4. “It is understandable that you want to be included, but perhaps we can work out a
plan on how to work through those situations.”
, Rudd 2
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
5. Which statement best describes the common core concepts of the different models of pediatric
nursing?
1. All models focus on the open communication between the child and nurse.
2. All models focus on importance of family relationship to the child.
3. All models focus on safeguarding the child’s dignity during care.
4. All models focus on coordination of care needs that arise during illness.
6. Which of the following tasks is associated with the pediatric medical home care model of pediatric
nursing?
1. The nurse refers the family to a childhood cancer support group prior to discharge
from the hospital.
2. The nurse includes a simple explanation of the procedure to the child based on the
child’s developmental level.
3. The nurse includes the family’s cultural celebrations and observations while
providing care to the child.
4. The nurse develops the plan of care with the child and family as the focal point of
the interventions.
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?
1. The nurse should discuss with the family the options of performing the
intervention without the child’s knowledge.
2. The nurse should explain to the child that this is necessary and promise a reward at
the end of the research project.
3. The nurse should refuse to perform the intervention until the child consents to the
intervention and project.
4. The nurse should discuss the pros and cons of the research project with the child
and focus on the outcomes.
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?
1. Maintaining a sterile field for a procedure with a restless toddler
2. Communicating with the blended family on regular basis
3. Treating children with antibiotic-resistant illnesses
4. Caring for a larger number of children with autism spectrum disorders and
childhood depression
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?
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 implement and develop research in nursing practice.
4. The nurse must implement a plan to obtain certification in pediatrics.
, Rudd 3
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
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?
1. Remove all unhealthy snacks from the vending machines.
2. Have a poster contest on healthy eating options.
3. Survey the student population during lunch breaks.
4. Engage the students in healthy choices with cooking lessons.
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?
1. Procedure with rationale to administer human papilloma vaccine to the middle
school population
2. Study review of the incidence of bullying and intimidation in the elementary
school population
3. Demographic study of the U.S. population with regard to cultural diversity and
practices
4. How to provide individual health care education for the children without parental
interference
12. Which of the following continuing education courses would best enhance the pediatric nurse’s
practice in relationship to current trends?
1. Evidence-based practice on improving antibiotic adherence with education to the
family unit
2. Evidence-based practice on proper administration of antibiotics for children with
autoimmune diseases
3. How to enhance communication with children in regards to adherence to antibiotic
use
4. How to decrease instances of exacerbation of infections of children with
autoimmune diseases with antibiotics
13. The pediatric nurse is developing interventions for a school-aged child based on the nursing
diagnosis of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choices
as evidenced by patient’s mother’s food diary for the family and child’s statements of food
preferences. Which of the following would be an appropriate nursing intervention?
1. Provide the child and family with information from https://www.MyPlate.gov for
healthy food options.
2. Increase the child’s activity by incorporating the child’s friends into a plan of
healthy exercise options.
3. Explain the importance of balancing diet and exercise to prevent obesity to the
child and family.
4. Provide information on the increased risk for potential disease processes such as
diabetes and hypertension.
14. The nurse is developing interventions for a transgender adolescent based on the nursing diagnosis
decreased self-esteem related to transgender identity as evidenced by statements of feeling
“worthless, different, and alone.” What would be the most appropriate intervention based on the
diagnosis?
1. Give positive feedback on personal choices as appropriate.
, Rudd 4
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
2. Provide gender-affirming care to transgender youth.
3. Provide information on support groups for patient and family.
4. Assess risk factors for depression and suicidal thoughts.
15. The wpediatric wnurse wis wproviding wcare wto wan w8-year-old wclient wwho whas wDown’s
wsyndrome wand wwants wto wensure wthey ware wproviding wevidence-based wcare. wWhich wof wthe
wfollowing wresources wwould wbest woffer wevidence-based wpractice wguidelines wrelated wto wthe
wcare wof wthis wpatient?
1. Journal wof wSpecialists win wPediatric wNursing
2. Journal wof wChild wand wAdolescent wPsychiatric wNursing
3. National wDatabase wof wNursing wQuality wIndicators
4. American wJournal wof wMaternal/Child wNursing
Multiple wResponse
Identify wone wor wmore wchoices wthat wbest wcomplete wthe wstatement wor wanswer wthe wquestion.
16. wThe wnurse wmust wobtain wdata wfor wa wroutine wassessment wof wthe w8-month-old wpatient.
wWhich wof wthe wfollowing ware wpart wof wthat wassessment? wSelect wall wthat wapply.
1. Measure wthe whead wcircumference wand wrecord wresults.
2. Enter wlength wand wweight win wthe wgrowth wchart.
3. Assess wbilateral whand wgrasp wstrength wand wfunction.
4. Input wthe wTanner wscale wresults win wthe wchart.
5. List wmost wrecent wimmunizations win wthe wchart.
17. wWhich wof wthe wfollowing wexamples waccurately wrepresent wthe wunique wrole wof wthe wpediatric
wnurse? wSelect wall wthat wapply.
1. The wnurse wdeveloped wan wintervention wthat wcorrelated wwith wthe wpatient’s
wparticular wcultural wpractice.
2. The wnurse wshared winformation won wthe wprogress wand winterventions wwith
wthe wfamily wand wpatient.
3. The wnurse wengaged win wone-to-one wconversations wwith wthe wfamily wmembers
was wwell was wthe wpatient.
4. The wnurse wrequested wthe wfamily wto wleave wduring winvasive wprocedures wto
wmaintain wprivacy.
5. The wnurse wdeveloped winterventions wbased won wthe wknowledge wof whuman
wgrowth wand wdevelopment.
18. wThe wnurse wis wdeveloping wa whealth wfair wfor wchildren waged w5 wand w6 wyears. wWhich wof
wthe wfollowing wwould wbe wappropriate wtopics wfor wthis wpopulation wbased won wcurrent
wtrends? wSelect wall wthat wapply.
1. How wto w deal wwith wbullying won wthe wInternet
2. How wto wprevent wthe wflu wwith whand wwashing
3. How wto wchoose wand weat whealthy wfoods
4. How wto wrecognize wsuicidal wthoughts
5. Ways wto wstay wactive wand wstay whealthy
, Rudd 5
Davis Advantage for Pediatric Nursing 3e Test Bank Ch01
19. wThe wschool wnurse wis wproviding wcare wto wthe wstudent wpopulation win wthe wurban welementary
wschool. wThe wnurse wnotes wthat wthe wchildren wdo wnot wfeel wsafe wplaying woutside wduring
wrecess wdue wto wthe wrecent wviolent wincidents win wthe wsurrounding warea. wWhat ware wsome
wdisease wprocesses wthat wthe wnurse wmay wnotice wdue wto wthis winactivity? wSelect wall wthat
wapply.
1. The wgeneral wpopulation wis wat whigher wrisk wfor wobesity.
2. The wstudents ware wat whigher wrisk wfor wincreased wbullying.
3. The wstudents ware wat wa whigher wrisk wfor wlearning wdisabilities.
4. The wstudents ware wat whigher wrisk wfor wdiabetes wmellitus.
5. The wstudents ware wat whigher wrisk wfor wearlier wonset wof wpuberty.
20. wThe wpediatric wnurse wis wproviding wcare wto wa w5-year-old wpatient wfor wspeech wimpediments
wthat wwere wcaused wby wrepeated wincidences wof wotitis wmedia. wWhich wof wthe wfollowing wis
wan wexample wof wcurrent wissues wregarding wthis wtype wof wmedical wproblem? wSelect wall
wthat wapply.
1. Increased wadmissions wbased won wenvironmental wrisk wfactors, wsuch was wsmoking
2. Increased wadmissions wbased won wknowledge wdeficits wdue wto wlanguage wbarriers
3. Increased wawareness wof wchildhood whealth wissues wfrom wsocial wmedia wand wInternet
4. Shift win wthe wfocus wof wmedical wcare wfrom wdisease wtreatment wto wdisease wprevention
5. Deficient wknowledge wthat whas wnegatively wimpacted wthe wadherence wto wthe
wantibiotic wregimen
