,Chapter q1 qIssues qand qTrends qin qPediatric qNursing
Multiple qChoice
Identify qthe qchoice qthat qbest qcompletes qthe qstatement qor qanswers qthe qquestion.
1. The qnurse qhas qprovided qa qpresentation qto qmiddle qschool qchildren qabout qnursing qas qa qcareer.
qOne qof qthe qchildren qstated qthat qhe qwanted qto qbe qa qpediatric q nurse, qbecause qhe qwants qto qtake
qcare qof q babies qand q little q “kids.” q What qwould qbe qan qappropriate qresponse qto qthis q middle
qschool–aged qchild?
1. “Nursing qis qa qgeneral qpractice; qall qnurses qmust qknow qhow qto qtake qcare qof qall
qages qof qpatients.”
2. “As qa qpediatric qnurse, qyou qwould qget qto qcare qfor qbabies qand qlittle qkids qas
qwell qas qchildren qthrough qtheir qteenage q years.”
3. “What qyou qare qdescribing qis qactually qa qneonatal qnurse. qNeonatal qnurses qwork
qwith q newborn qbabies, qtoddlers, qand qpreschool-age qchildren.”
4. “Being qa qpediatric qnurse qrequires qa qmaster’s qdegree, qso qbe qsure qto qwork
qhard qin qschool!”
2. The qmedical-surgical qfloat qnurse qis qassigned qto qthe qpediatric qunit qfor qthe qfirst qtime qand qstates
qthat qthe qskills qare q “the qsame qas qgeneral qnursing q since qchildren qare q little qadults qwith qsmaller
qbodies.” q What qcomponent qof qpediatric qnursing qcontraindicates qthis qstatement?
1. Pediatric qnursing qinvolves qcare qbased qon qthe qdevelopmental qlevel qof qthe qpatient.
2. Pediatric qnursing q involves qthe qpatient’s qfamily qin qthe qplan qof qcare.
3. Pediatric qnursing qin qbased qon qprevention qof qinfectious qdiseases.
4. Pediatric qnursing qinvolves qcultural qsensitivity qin qpatient qcare.
3. The qculturally qsensitive qpediatric qnurse qis qaware qof qthe qracial q makeup qof qthe qU.S. qpopulation.
qWhich qof qthe qfollowing qreflects qthe qdemographics qof qthe qU.S. qpediatric qpopulation qin q2018,
qbased qon qU.S. qCensus qBureau qdata?
1. The qAmerican qIndian qand qAlaska qNative qpopulation qrepresent qone-fifth qof
qthe qpediatric qpopulation.
2. About qhalf qof qthe qchildren qfall qin qthe qcategory qof qsomething qother qthan qWhite
qnon- qHispanic.
3. The qpopulation qof qAsian qchildren qdecreased qfrom q2015 qto q2018.
4. There qwas qno qchange qin qthe qpopulation qof qNon-Hispanic qchildren qwho
qrepresent qtwo qor qmore qraces qbetween q2015 qand q 2018.
4. The qnurse qat qa qfamily qclinic qis qproviding qcare qto qan qadolescent qpatient qdiagnosed qwith qdiabetes.
qThe qpatient qhas q verbalized qdiscomfort qwith qthe q feelings qof q isolation qwhen qunable qto qdrink
qalcohol qwith qtheir q friends. q Which qof qthe q following qwould qbe qthe q most qappropriate qresponse qto
qthis qstatement?
1. “Drinking qalcohol qis qnot qonly qillegal qbut qdangerous qfor qyour qblood qsugar
qcontrol qand qoverall qwell-being.”
2. “You qcan qstill qdrink qalcohol, qin qmoderation, qif qyou qcontrol qthe qsugar qspike
qwith q more qinsulin.”
3. “Prepare qfor qalcohol qintake qwith qmore qwater qand qless qcarbohydrates qbefore
qdrinking qto qslow qsugar qspikes.”
4. “It qis qunderstandable qthat qyou qwant qto qbe qincluded, qbut qperhaps qwe qcan qwork
qout qa qplan qon q how qto qwork qthrough qthose qsituations.”
,5. Which qstatement qbest qdescribes qthe qcommon qcore qconcepts qof qthe qdifferent qmodels qof
qpediatric qnursing?
1. All qmodels qfocus qon qthe qopen qcommunication qbetween qthe qchild qand qnurse.
2. All qmodels qfocus qon qimportance qof q family qrelationship qto qthe qchild.
3. All qmodels q focus qon qsafeguarding qthe qchild’s qdignity qduring qcare.
4. All qmodels qfocus qon qcoordination qof qcare qneeds qthat qarise qduring qillness.
6. Which qof qthe qfollowing qtasks qis qassociated qwith qthe qpediatric qmedical qhome qcare qmodel qof
qpediatric qnursing?
1. The qnurse qrefers qthe qfamily qto qa qchildhood qcancer qsupport qgroup qprior qto
qdischarge q from qthe qhospital.
2. The qnurse qincludes qa qsimple qexplanation qof qthe qprocedure qto qthe qchild qbased qon
qthe qchild’s qdevelopmental q level.
3. The qnurse qincludes qthe qfamily’s qcultural qcelebrations qand qobservations
qwhile qproviding qcare qto qthe qchild.
4. The qnurse qdevelops qthe qplan qof qcare qwith qthe qchild qand qfamily qas qthe qfocal
qpoint qof qthe q interventions.
7. The qpediatric qnurse qbegins qa qresearch qproject qon q8-year-old qpatients qwith qthe qmedical
qdiagnosis qof qpediatric qacute-onset qneuropsychiatric qsyndrome q(PANS). qThe q family q has
qconsented qto qthe qresearch, qbut qas qthe qnurse qbegins qto qadminister qthe q intervention, qthe qpatient
qrefuses qto qcooperate. qWhat q is qthe qappropriate qresponse qto qthis qrefusal?
1. The qnurse qshould qdiscuss qwith qthe qfamily qthe qoptions qof qperforming
qthe qintervention qwithout qthe qchild’s qknowledge.
2. The qnurse qshould qexplain qto qthe qchild qthat qthis qis qnecessary qand qpromise qa
qreward qat qthe qend qof qthe qresearch qproject.
3. The qnurse qshould qrefuse qto qperform qthe qintervention quntil qthe qchild qconsents qto
qthe q intervention qand qproject.
4. The qnurse qshould qdiscuss qthe qpros qand qcons qof qthe qresearch qproject qwith qthe
qchild qand q focus qon qthe qoutcomes.
8. A qnurse qis qproviding qrelationship-based qcare qto qa qpediatric qpatient. qWhich qof qthe qfollowing
qis qa qchallenge qthe q nurse q is q likely qto qencounter qwhile qusing qthis q model qof qcare?
1. Maintaining qa qsterile qfield q for qa qprocedure qwith qa qrestless qtoddler
2. Communicating qwith qthe qblended q family qon qregular qbasis
3. Treating qchildren qwith qantibiotic-resistant qillnesses
4. Caring qfor qa qlarger qnumber qof qchildren qwith qautism qspectrum qdisorders
qand qchildhood qdepression
9. The qpediatric qnurse qdesires qto qexpand qhis qor qher qcareer qoptions qto qbecome qthe qhospital’s
qnurse qeducator qof qpediatrics. qWhich qof qthe qfollowing qis qnecessary qfor qthis qnurse qto qachieve
qthis qcareer qgoal?
1. The qnurse qis qrecommended qto qearn qa qminimum qof qa qmaster’s qdegree qin qnursing.
2. The qnurse qmust qearn qa qminimum qof qa qdoctorate qdegree qin qnursing.
3. The qnurse qmust qimplement qand qdevelop qresearch qin q nursing qpractice.
4. The qnurse qmust qimplement qa qplan qto qobtain qcertification q in qpediatrics.
, 10. qThe qschool q nurse q is qdeveloping qa qteaching qsession q for qthe qpopulation qof qchildren q in qa q middle
qschool. qThe q nurse q has qdetermined qthat qthe qgreatest qneed q for qthe qoverall q health qof qthe
qchildren q is qpromotion qof qhealthy q foods. qWhich qof qthe qfollowing qinterventions qis qmost qlikely
qto qbe qeffective?
1. Remove qall qunhealthy qsnacks qfrom qthe qvending qmachines.
2. Have qa qposter qcontest qon qhealthy qeating qoptions.
3. Survey qthe qstudent qpopulation qduring q lunch qbreaks.
4. Engage qthe qstudents q in q healthy qchoices qwith qcooking q lessons.
11. qThe qnurse qrecognizes qthe qneeds qof qprofessional qdevelopment qto qprovide qsafe qand qeffective
qcare qto qthe qpediatric qpopulation qby qattending qwhich qof qthe q following qcourses?
1. Procedure qwith qrationale qto qadminister qhuman qpapilloma qvaccine qto qthe
qmiddle qschool qpopulation
2. Study qreview qof qthe qincidence qof qbullying qand qintimidation qin qthe
qelementary qschool qpopulation
3. Demographic qstudy qof qthe qU.S. qpopulation qwith qregard qto qcultural qdiversity
qand qpractices
4. How qto qprovide qindividual qhealth qcare qeducation qfor qthe qchildren qwithout
qparental q interference
12. qWhich qof qthe qfollowing qcontinuing qeducation qcourses qwould qbest qenhance qthe qpediatric
qnurse’s qpractice q in qrelationship qto qcurrent qtrends?
1. Evidence-based qpractice qon qimproving qantibiotic qadherence qwith qeducation qto
qthe q family qunit
2. Evidence-based qpractice qon qproper qadministration qof qantibiotics qfor qchildren
qwith qautoimmune qdiseases
3. How qto qenhance qcommunication qwith qchildren qin qregards qto qadherence qto
qantibiotic quse
4. How qto qdecrease qinstances qof qexacerbation qof qinfections qof qchildren
qwith qautoimmune qdiseases qwith qantibiotics
13. qThe qpediatric qnurse qis qdeveloping q interventions q for qa qschool-aged qchild qbased qon qthe qnursing
qdiagnosis qof qimbalanced qnutrition qrelated qto qa qbody qmass qindex q(BMI) qof q37 qand qpoor qfood
qchoices qas qevidenced qby qpatient’s qmother’s qfood qdiary qfor qthe qfamily qand qchild’s qstatements
qof qfood qpreferences. qWhich qof qthe q following qwould q be qan qappropriate qnursing q intervention?
1. Provide qthe qchild qand qfamily qwith qinformation qfrom qhttps://www.MyPlate.gov
qfor qhealthy q food qoptions.
2. Increase qthe qchild’s qactivity qby qincorporating qthe qchild’s qfriends qinto qa qplan
qof qhealthy qexercise qoptions.
3. Explain qthe qimportance qof qbalancing qdiet qand qexercise qto qprevent qobesity qto
qthe qchild qand q family.
4. Provide qinformation qon qthe qincreased qrisk qfor qpotential qdisease qprocesses qsuch
qas qdiabetes qand q hypertension.
14. qThe qnurse q is qdeveloping qinterventions qfor qa qtransgender qadolescent qbased qon qthe qnursing qdiagnosis
decreased qself-esteem qrelated qto qtransgender qidentity qas qevidenced qby qstatements qof qfeeling
“worthless, qdifferent, qand qalone.” qWhat qwould qbe qthe qmost qappropriate qintervention qbased qon qthe
qdiagnosis?
1. Give qpositive qfeedback qon qpersonal qchoices qas qappropriate.
Multiple qChoice
Identify qthe qchoice qthat qbest qcompletes qthe qstatement qor qanswers qthe qquestion.
1. The qnurse qhas qprovided qa qpresentation qto qmiddle qschool qchildren qabout qnursing qas qa qcareer.
qOne qof qthe qchildren qstated qthat qhe qwanted qto qbe qa qpediatric q nurse, qbecause qhe qwants qto qtake
qcare qof q babies qand q little q “kids.” q What qwould qbe qan qappropriate qresponse qto qthis q middle
qschool–aged qchild?
1. “Nursing qis qa qgeneral qpractice; qall qnurses qmust qknow qhow qto qtake qcare qof qall
qages qof qpatients.”
2. “As qa qpediatric qnurse, qyou qwould qget qto qcare qfor qbabies qand qlittle qkids qas
qwell qas qchildren qthrough qtheir qteenage q years.”
3. “What qyou qare qdescribing qis qactually qa qneonatal qnurse. qNeonatal qnurses qwork
qwith q newborn qbabies, qtoddlers, qand qpreschool-age qchildren.”
4. “Being qa qpediatric qnurse qrequires qa qmaster’s qdegree, qso qbe qsure qto qwork
qhard qin qschool!”
2. The qmedical-surgical qfloat qnurse qis qassigned qto qthe qpediatric qunit qfor qthe qfirst qtime qand qstates
qthat qthe qskills qare q “the qsame qas qgeneral qnursing q since qchildren qare q little qadults qwith qsmaller
qbodies.” q What qcomponent qof qpediatric qnursing qcontraindicates qthis qstatement?
1. Pediatric qnursing qinvolves qcare qbased qon qthe qdevelopmental qlevel qof qthe qpatient.
2. Pediatric qnursing q involves qthe qpatient’s qfamily qin qthe qplan qof qcare.
3. Pediatric qnursing qin qbased qon qprevention qof qinfectious qdiseases.
4. Pediatric qnursing qinvolves qcultural qsensitivity qin qpatient qcare.
3. The qculturally qsensitive qpediatric qnurse qis qaware qof qthe qracial q makeup qof qthe qU.S. qpopulation.
qWhich qof qthe qfollowing qreflects qthe qdemographics qof qthe qU.S. qpediatric qpopulation qin q2018,
qbased qon qU.S. qCensus qBureau qdata?
1. The qAmerican qIndian qand qAlaska qNative qpopulation qrepresent qone-fifth qof
qthe qpediatric qpopulation.
2. About qhalf qof qthe qchildren qfall qin qthe qcategory qof qsomething qother qthan qWhite
qnon- qHispanic.
3. The qpopulation qof qAsian qchildren qdecreased qfrom q2015 qto q2018.
4. There qwas qno qchange qin qthe qpopulation qof qNon-Hispanic qchildren qwho
qrepresent qtwo qor qmore qraces qbetween q2015 qand q 2018.
4. The qnurse qat qa qfamily qclinic qis qproviding qcare qto qan qadolescent qpatient qdiagnosed qwith qdiabetes.
qThe qpatient qhas q verbalized qdiscomfort qwith qthe q feelings qof q isolation qwhen qunable qto qdrink
qalcohol qwith qtheir q friends. q Which qof qthe q following qwould qbe qthe q most qappropriate qresponse qto
qthis qstatement?
1. “Drinking qalcohol qis qnot qonly qillegal qbut qdangerous qfor qyour qblood qsugar
qcontrol qand qoverall qwell-being.”
2. “You qcan qstill qdrink qalcohol, qin qmoderation, qif qyou qcontrol qthe qsugar qspike
qwith q more qinsulin.”
3. “Prepare qfor qalcohol qintake qwith qmore qwater qand qless qcarbohydrates qbefore
qdrinking qto qslow qsugar qspikes.”
4. “It qis qunderstandable qthat qyou qwant qto qbe qincluded, qbut qperhaps qwe qcan qwork
qout qa qplan qon q how qto qwork qthrough qthose qsituations.”
,5. Which qstatement qbest qdescribes qthe qcommon qcore qconcepts qof qthe qdifferent qmodels qof
qpediatric qnursing?
1. All qmodels qfocus qon qthe qopen qcommunication qbetween qthe qchild qand qnurse.
2. All qmodels qfocus qon qimportance qof q family qrelationship qto qthe qchild.
3. All qmodels q focus qon qsafeguarding qthe qchild’s qdignity qduring qcare.
4. All qmodels qfocus qon qcoordination qof qcare qneeds qthat qarise qduring qillness.
6. Which qof qthe qfollowing qtasks qis qassociated qwith qthe qpediatric qmedical qhome qcare qmodel qof
qpediatric qnursing?
1. The qnurse qrefers qthe qfamily qto qa qchildhood qcancer qsupport qgroup qprior qto
qdischarge q from qthe qhospital.
2. The qnurse qincludes qa qsimple qexplanation qof qthe qprocedure qto qthe qchild qbased qon
qthe qchild’s qdevelopmental q level.
3. The qnurse qincludes qthe qfamily’s qcultural qcelebrations qand qobservations
qwhile qproviding qcare qto qthe qchild.
4. The qnurse qdevelops qthe qplan qof qcare qwith qthe qchild qand qfamily qas qthe qfocal
qpoint qof qthe q interventions.
7. The qpediatric qnurse qbegins qa qresearch qproject qon q8-year-old qpatients qwith qthe qmedical
qdiagnosis qof qpediatric qacute-onset qneuropsychiatric qsyndrome q(PANS). qThe q family q has
qconsented qto qthe qresearch, qbut qas qthe qnurse qbegins qto qadminister qthe q intervention, qthe qpatient
qrefuses qto qcooperate. qWhat q is qthe qappropriate qresponse qto qthis qrefusal?
1. The qnurse qshould qdiscuss qwith qthe qfamily qthe qoptions qof qperforming
qthe qintervention qwithout qthe qchild’s qknowledge.
2. The qnurse qshould qexplain qto qthe qchild qthat qthis qis qnecessary qand qpromise qa
qreward qat qthe qend qof qthe qresearch qproject.
3. The qnurse qshould qrefuse qto qperform qthe qintervention quntil qthe qchild qconsents qto
qthe q intervention qand qproject.
4. The qnurse qshould qdiscuss qthe qpros qand qcons qof qthe qresearch qproject qwith qthe
qchild qand q focus qon qthe qoutcomes.
8. A qnurse qis qproviding qrelationship-based qcare qto qa qpediatric qpatient. qWhich qof qthe qfollowing
qis qa qchallenge qthe q nurse q is q likely qto qencounter qwhile qusing qthis q model qof qcare?
1. Maintaining qa qsterile qfield q for qa qprocedure qwith qa qrestless qtoddler
2. Communicating qwith qthe qblended q family qon qregular qbasis
3. Treating qchildren qwith qantibiotic-resistant qillnesses
4. Caring qfor qa qlarger qnumber qof qchildren qwith qautism qspectrum qdisorders
qand qchildhood qdepression
9. The qpediatric qnurse qdesires qto qexpand qhis qor qher qcareer qoptions qto qbecome qthe qhospital’s
qnurse qeducator qof qpediatrics. qWhich qof qthe qfollowing qis qnecessary qfor qthis qnurse qto qachieve
qthis qcareer qgoal?
1. The qnurse qis qrecommended qto qearn qa qminimum qof qa qmaster’s qdegree qin qnursing.
2. The qnurse qmust qearn qa qminimum qof qa qdoctorate qdegree qin qnursing.
3. The qnurse qmust qimplement qand qdevelop qresearch qin q nursing qpractice.
4. The qnurse qmust qimplement qa qplan qto qobtain qcertification q in qpediatrics.
, 10. qThe qschool q nurse q is qdeveloping qa qteaching qsession q for qthe qpopulation qof qchildren q in qa q middle
qschool. qThe q nurse q has qdetermined qthat qthe qgreatest qneed q for qthe qoverall q health qof qthe
qchildren q is qpromotion qof qhealthy q foods. qWhich qof qthe qfollowing qinterventions qis qmost qlikely
qto qbe qeffective?
1. Remove qall qunhealthy qsnacks qfrom qthe qvending qmachines.
2. Have qa qposter qcontest qon qhealthy qeating qoptions.
3. Survey qthe qstudent qpopulation qduring q lunch qbreaks.
4. Engage qthe qstudents q in q healthy qchoices qwith qcooking q lessons.
11. qThe qnurse qrecognizes qthe qneeds qof qprofessional qdevelopment qto qprovide qsafe qand qeffective
qcare qto qthe qpediatric qpopulation qby qattending qwhich qof qthe q following qcourses?
1. Procedure qwith qrationale qto qadminister qhuman qpapilloma qvaccine qto qthe
qmiddle qschool qpopulation
2. Study qreview qof qthe qincidence qof qbullying qand qintimidation qin qthe
qelementary qschool qpopulation
3. Demographic qstudy qof qthe qU.S. qpopulation qwith qregard qto qcultural qdiversity
qand qpractices
4. How qto qprovide qindividual qhealth qcare qeducation qfor qthe qchildren qwithout
qparental q interference
12. qWhich qof qthe qfollowing qcontinuing qeducation qcourses qwould qbest qenhance qthe qpediatric
qnurse’s qpractice q in qrelationship qto qcurrent qtrends?
1. Evidence-based qpractice qon qimproving qantibiotic qadherence qwith qeducation qto
qthe q family qunit
2. Evidence-based qpractice qon qproper qadministration qof qantibiotics qfor qchildren
qwith qautoimmune qdiseases
3. How qto qenhance qcommunication qwith qchildren qin qregards qto qadherence qto
qantibiotic quse
4. How qto qdecrease qinstances qof qexacerbation qof qinfections qof qchildren
qwith qautoimmune qdiseases qwith qantibiotics
13. qThe qpediatric qnurse qis qdeveloping q interventions q for qa qschool-aged qchild qbased qon qthe qnursing
qdiagnosis qof qimbalanced qnutrition qrelated qto qa qbody qmass qindex q(BMI) qof q37 qand qpoor qfood
qchoices qas qevidenced qby qpatient’s qmother’s qfood qdiary qfor qthe qfamily qand qchild’s qstatements
qof qfood qpreferences. qWhich qof qthe q following qwould q be qan qappropriate qnursing q intervention?
1. Provide qthe qchild qand qfamily qwith qinformation qfrom qhttps://www.MyPlate.gov
qfor qhealthy q food qoptions.
2. Increase qthe qchild’s qactivity qby qincorporating qthe qchild’s qfriends qinto qa qplan
qof qhealthy qexercise qoptions.
3. Explain qthe qimportance qof qbalancing qdiet qand qexercise qto qprevent qobesity qto
qthe qchild qand q family.
4. Provide qinformation qon qthe qincreased qrisk qfor qpotential qdisease qprocesses qsuch
qas qdiabetes qand q hypertension.
14. qThe qnurse q is qdeveloping qinterventions qfor qa qtransgender qadolescent qbased qon qthe qnursing qdiagnosis
decreased qself-esteem qrelated qto qtransgender qidentity qas qevidenced qby qstatements qof qfeeling
“worthless, qdifferent, qand qalone.” qWhat qwould qbe qthe qmost qappropriate qintervention qbased qon qthe
qdiagnosis?
1. Give qpositive qfeedback qon qpersonal qchoices qas qappropriate.
