PEDS EXAM 1 (TESTBANK)
Which nursing role is not directly in-
volved when providing family-centered
approach to the pediatric population?
1. Advocacy 4. Researcher
2. Case management
3. Patient education
4. Researcher
A nurse is working with pediatric clients
in a research facility. The nurse recog-
nizes that federal guidelines are in place
that delineate which pediatrics clients
must give assent for participation in re-
search trials. Based upon the clients age,
2. The 7-year-old leukemia client electing
the nurse would seek assent from which
to receive a newly developed medication,
children? Select all that apply.
now being researched.
1. The precocious 4-year-old starting as
3. The 10-year-old starting in an inves-
a cystic fibrosis research-study partici-
tigative study for clients with precocious
pant.
puberty.
2. The 7-year-old leukemia client electing
4. The 13-year-old client beginning par-
to receive a newly developed medica-
ticipation in a research program for
tion, now being researched.
ADHD treatments.
3. The 10-year-old starting in an inves-
tigative study for clients with precocious
puberty.
4. The 13-year-old client beginning par-
ticipation in a research program for
ADHD treatments.
The nurse in a pediatric acute-care unit
is assigned the following tasks. Which
task is not appropriate for the registered
to nurse complete?
1. Diagnose an 8-year-old with acute oti-
1. Diagnose an 8-year-old with acute oti-
tis media and prescribe an antibiotic.
tis media and prescribe an antibiotic.
2. Listen to the concerns of an ado-
lescent about being out of school for a
lengthy surgical recovery.
3. Provide information to a mother of
a newly diagnosed 4-year-old diabetic
, PEDS EXAM 1 (TESTBANK)
about local support-group options.
4. Diagnose a 6-year-old with Diversional
Activity Deficit related to placement in
isolation.
A 7-year-old child is admitted for acute
appendicitis. The parents are question-
ing the nurse about expectations during
the childs recovery. Which information
tool would be most useful in answering
a parents questions about the timing of 2. Clinical pathways
key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
The nurse recognizes that the pediatric
client is from a cultural background differ-
ent from that of the hospital staff. Which
goal is most appropriate for this client
when planning nursing care?
1. Overlook or minimize the differences
2. Facilitate the family's ability to comply
that exist.
with the care needed.
2. Facilitate the family's ability to comply
with the care needed.
3. Avoid inadvertently offending the fam-
ily by imposing the nurses perspective.
4. Encourage complementary beneficial
cultural practices as primary therapies.
The telephone triage nurse at a pedi-
atric clinic knows each call is important.
Which call would require extra attentive-
ness from the registered nurse because
of an increased risk of mortality? 1. A 3-week-old infant born at 35 weeks
1. A 3-week-old infant born at 35 weeks gestation with gastroenteritis
gestation with gastroenteritis
2. A term 2-week-old infant of American
Indian descent with an upper respiratory
infection
, PEDS EXAM 1 (TESTBANK)
3. A post term 4-week-old infant non-His-
panic black descent with moderate eme-
sis after feeding
4. A 1-week-old infant born at 40 weeks
gestation with symptoms of colic
Despite the availability of Childrens
Health Insurance Programs (CHIP),
many eligible children are not enrolled.
Which nursing intervention would be the
most appropriate to help children be-
come enrolled in CHIP?
1. Assessment of the details of the fam-
3. To advocate for the child by encour-
ilys income and expenditures
aging the family to investigate its CHIP
2. Case management to limit costly, un-
eligibility
necessary duplication of services
3. To advocate for the child by encour-
aging the family to investigate its CHIP
eligibility
4. To educate the family about the need
for keeping regular well-childvisit ap-
pointments
A supervisor is reviewing the documen-
tation of the nurses in the unit. Which
client documentation is the most accu-
rate and contains all the required part for
a narrative entry?
1. 2/2/05 1630 Catheterized using an
8 French catheter, 45 mL clear yellow
1. 2/2/05 1630 Catheterized using an
urine obtained, specimen sent to lab,
8 French catheter, 45 mL clear yellow
squirmed and cried softly during inser-
urine obtained, specimen sent to lab,
tion of catheter. Quiet in mothers arms
squirmed and cried softly during inser-
following catheter removal. M. May RN
2. 1/9/05 2 pm NG tube placement con-
firmed and irrigated with 30 ml sterile
water. Suction set at low, intermittent.
Oxygen via nasal canal at 2 L/min. Nares
patent, pink, and nonirritated. K. Earnst
RN
, PEDS EXAM 1 (TESTBANK)
3. 4:00 Trach dressing removed with
dime-size stain of dry serous exudate.
Site cleansed with normal saline. Dried
with sterile gauze. New sterile trach
sponge and trach ties applied. Respira-
tions regular and even throughout the
tion of catheter. Quiet in mothers arms
procedure. F. Luck RN
following catheter removal. M. May RN
4. Feb. 05 Port-A-Cath assessed with
Huber needle. Blood return present.
Flushed with NaCl sol., IV gamma glo-
bins hung and infusing at 30cc/hr. Child
smiling and playful throughout the proce-
dure. P. Potter, RN
A 12-year-old pediatric client is in need
of surgery. Which member of the health
care team is legally responsible for ob-
taining informed consent for an invasive
procedure? 2. Physician
1. Nurse
2. Physician
3. Unit secretary
4. Social worker
A child is being prepared for an invasive
procedure. The mother of the child has
legal custody but is not present. After
details of the procedure are explained,
who can provide legal consent on behalf
of a minor child for treatment?
1. The divorced parent without custody 4. A babysitter with written proxy consent
2. A cohabitating unmarried boyfriend of
the childs mother
3. A grandparent who lives in the home
with the child
4. A babysitter with written proxy consent
A 12-year-old child is admitted to the
unit for a surgical procedure. The child
is accompanied by two parents and a
younger sibling. What is the level of in-
Which nursing role is not directly in-
volved when providing family-centered
approach to the pediatric population?
1. Advocacy 4. Researcher
2. Case management
3. Patient education
4. Researcher
A nurse is working with pediatric clients
in a research facility. The nurse recog-
nizes that federal guidelines are in place
that delineate which pediatrics clients
must give assent for participation in re-
search trials. Based upon the clients age,
2. The 7-year-old leukemia client electing
the nurse would seek assent from which
to receive a newly developed medication,
children? Select all that apply.
now being researched.
1. The precocious 4-year-old starting as
3. The 10-year-old starting in an inves-
a cystic fibrosis research-study partici-
tigative study for clients with precocious
pant.
puberty.
2. The 7-year-old leukemia client electing
4. The 13-year-old client beginning par-
to receive a newly developed medica-
ticipation in a research program for
tion, now being researched.
ADHD treatments.
3. The 10-year-old starting in an inves-
tigative study for clients with precocious
puberty.
4. The 13-year-old client beginning par-
ticipation in a research program for
ADHD treatments.
The nurse in a pediatric acute-care unit
is assigned the following tasks. Which
task is not appropriate for the registered
to nurse complete?
1. Diagnose an 8-year-old with acute oti-
1. Diagnose an 8-year-old with acute oti-
tis media and prescribe an antibiotic.
tis media and prescribe an antibiotic.
2. Listen to the concerns of an ado-
lescent about being out of school for a
lengthy surgical recovery.
3. Provide information to a mother of
a newly diagnosed 4-year-old diabetic
, PEDS EXAM 1 (TESTBANK)
about local support-group options.
4. Diagnose a 6-year-old with Diversional
Activity Deficit related to placement in
isolation.
A 7-year-old child is admitted for acute
appendicitis. The parents are question-
ing the nurse about expectations during
the childs recovery. Which information
tool would be most useful in answering
a parents questions about the timing of 2. Clinical pathways
key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
The nurse recognizes that the pediatric
client is from a cultural background differ-
ent from that of the hospital staff. Which
goal is most appropriate for this client
when planning nursing care?
1. Overlook or minimize the differences
2. Facilitate the family's ability to comply
that exist.
with the care needed.
2. Facilitate the family's ability to comply
with the care needed.
3. Avoid inadvertently offending the fam-
ily by imposing the nurses perspective.
4. Encourage complementary beneficial
cultural practices as primary therapies.
The telephone triage nurse at a pedi-
atric clinic knows each call is important.
Which call would require extra attentive-
ness from the registered nurse because
of an increased risk of mortality? 1. A 3-week-old infant born at 35 weeks
1. A 3-week-old infant born at 35 weeks gestation with gastroenteritis
gestation with gastroenteritis
2. A term 2-week-old infant of American
Indian descent with an upper respiratory
infection
, PEDS EXAM 1 (TESTBANK)
3. A post term 4-week-old infant non-His-
panic black descent with moderate eme-
sis after feeding
4. A 1-week-old infant born at 40 weeks
gestation with symptoms of colic
Despite the availability of Childrens
Health Insurance Programs (CHIP),
many eligible children are not enrolled.
Which nursing intervention would be the
most appropriate to help children be-
come enrolled in CHIP?
1. Assessment of the details of the fam-
3. To advocate for the child by encour-
ilys income and expenditures
aging the family to investigate its CHIP
2. Case management to limit costly, un-
eligibility
necessary duplication of services
3. To advocate for the child by encour-
aging the family to investigate its CHIP
eligibility
4. To educate the family about the need
for keeping regular well-childvisit ap-
pointments
A supervisor is reviewing the documen-
tation of the nurses in the unit. Which
client documentation is the most accu-
rate and contains all the required part for
a narrative entry?
1. 2/2/05 1630 Catheterized using an
8 French catheter, 45 mL clear yellow
1. 2/2/05 1630 Catheterized using an
urine obtained, specimen sent to lab,
8 French catheter, 45 mL clear yellow
squirmed and cried softly during inser-
urine obtained, specimen sent to lab,
tion of catheter. Quiet in mothers arms
squirmed and cried softly during inser-
following catheter removal. M. May RN
2. 1/9/05 2 pm NG tube placement con-
firmed and irrigated with 30 ml sterile
water. Suction set at low, intermittent.
Oxygen via nasal canal at 2 L/min. Nares
patent, pink, and nonirritated. K. Earnst
RN
, PEDS EXAM 1 (TESTBANK)
3. 4:00 Trach dressing removed with
dime-size stain of dry serous exudate.
Site cleansed with normal saline. Dried
with sterile gauze. New sterile trach
sponge and trach ties applied. Respira-
tions regular and even throughout the
tion of catheter. Quiet in mothers arms
procedure. F. Luck RN
following catheter removal. M. May RN
4. Feb. 05 Port-A-Cath assessed with
Huber needle. Blood return present.
Flushed with NaCl sol., IV gamma glo-
bins hung and infusing at 30cc/hr. Child
smiling and playful throughout the proce-
dure. P. Potter, RN
A 12-year-old pediatric client is in need
of surgery. Which member of the health
care team is legally responsible for ob-
taining informed consent for an invasive
procedure? 2. Physician
1. Nurse
2. Physician
3. Unit secretary
4. Social worker
A child is being prepared for an invasive
procedure. The mother of the child has
legal custody but is not present. After
details of the procedure are explained,
who can provide legal consent on behalf
of a minor child for treatment?
1. The divorced parent without custody 4. A babysitter with written proxy consent
2. A cohabitating unmarried boyfriend of
the childs mother
3. A grandparent who lives in the home
with the child
4. A babysitter with written proxy consent
A 12-year-old child is admitted to the
unit for a surgical procedure. The child
is accompanied by two parents and a
younger sibling. What is the level of in-
