Variations of Nursing Interventions
|Pediatric Exam Questions and Correct Answers
2025 (A+ Graded) With Rationale Answers
Chapter 45: Pediatric Variations of Nursing
Interventions - ...
... - 1. What should the nurse consider when having consent
forms signed for surgery
and procedures on children?
a. - Only a parent or legal guardian can give consent.
b. - The person giving consent must be at least 18 years old.
c. - The risks and benefits of a procedure are part of the
consent process.
d. - A mental age of 7 years or older is required for a consent to
be considered
"informed."
ANS: - C
,Rationale: The informed consent must include the nature of the
procedure, benefits and risks, and alternatives to the procedure.
In special circumstances such as emancipated minors, the
consent can be given by someone younger than 18 years without
the parent or legal guardian. A mental age of 7 years is too young
for consent to be informed. - ...
PTS: - 1 DIF: Cognitive Level: Comprehension REF: 1245
OBJ: - Client Needs: Safe and Effective Care Environment
TOP: - Nursing Process: Planning
... - 2. The nurse is planning how to prepare a 4-year-old child for
some diagnostic
procedures. Guidelines for preparing this preschooler should
include to:
a. - Plan for a short teaching session of about 30 minutes.
b. - Tell the child that procedures are never a form of
punishment.
c. - Keep equipment out of the child's view.
d. - Use correct scientific and medical terminology in
explanations.
ANS: - B
,Rationale: Illness and hospitalization may be viewed as
punishment in preschoolers. Always state directly that procedures
are never a form of punishment. Teaching sessions for this age
group should be 10 to 15 minutes in length. Demonstrate the use
of equipment and allow the child to play with miniature or actual
equipment. Explain the procedure in simple terms and how it
affects the child. - ...
PTS: - 1 DIF: Cognitive Level: Application REF: 1248
OBJ: - Client Needs: Health Promotion and Maintenance
TOP: - Nursing Process: Implementation
... - 3. Katie, 4 years old, is admitted to outpatient surgery for
removal of a cyst on her foot. Her mother puts the hospital gown
on her, but Katie is crying because she wants to leave on her
underpants. The most appropriate nursing action is to:
a. - Allow her to wear her underpants.
b. - Discuss with her mother why this is important to Katie.
c. - Ask her mother to explain to her why she cannot wear
them.
d. - Explain in a kind, matter-of-fact manner that this is hospital
policy.
ANS: - A
, Rationale: It is appropriate for the child to leave her underpants
on. This allows her some measure of control during the foot
surgery. The mother should not be required to make the child
more upset. Katie is too young to understand what hospital policy
means. - ...
PTS: - 1 DIF: Cognitive Level: Application REF: 1249
OBJ: - Client Needs: Health Promotion and Maintenance
TOP: - Nursing Process: Implementation
... - 4. Using knowledge of child development, the best approach
when preparing a
toddler for a procedure is to:
a. - Avoid asking the child to make choices.
b. - Demonstrate the procedure on a doll.
c. - Plan for the teaching session to last about 20 minutes.
d. - Show necessary equipment without allowing child to handle
it.
ANS: - B
Rationale: Prepare toddlers for procedures by using play.
Demonstrate on a doll, but avoid the child's favorite doll because
the toddler may think the doll is really "feeling" the procedure. In
preparing a toddler for a procedure, the child is allowed to
participate in care and help whenever possible. Teaching
|Pediatric Exam Questions and Correct Answers
2025 (A+ Graded) With Rationale Answers
Chapter 45: Pediatric Variations of Nursing
Interventions - ...
... - 1. What should the nurse consider when having consent
forms signed for surgery
and procedures on children?
a. - Only a parent or legal guardian can give consent.
b. - The person giving consent must be at least 18 years old.
c. - The risks and benefits of a procedure are part of the
consent process.
d. - A mental age of 7 years or older is required for a consent to
be considered
"informed."
ANS: - C
,Rationale: The informed consent must include the nature of the
procedure, benefits and risks, and alternatives to the procedure.
In special circumstances such as emancipated minors, the
consent can be given by someone younger than 18 years without
the parent or legal guardian. A mental age of 7 years is too young
for consent to be informed. - ...
PTS: - 1 DIF: Cognitive Level: Comprehension REF: 1245
OBJ: - Client Needs: Safe and Effective Care Environment
TOP: - Nursing Process: Planning
... - 2. The nurse is planning how to prepare a 4-year-old child for
some diagnostic
procedures. Guidelines for preparing this preschooler should
include to:
a. - Plan for a short teaching session of about 30 minutes.
b. - Tell the child that procedures are never a form of
punishment.
c. - Keep equipment out of the child's view.
d. - Use correct scientific and medical terminology in
explanations.
ANS: - B
,Rationale: Illness and hospitalization may be viewed as
punishment in preschoolers. Always state directly that procedures
are never a form of punishment. Teaching sessions for this age
group should be 10 to 15 minutes in length. Demonstrate the use
of equipment and allow the child to play with miniature or actual
equipment. Explain the procedure in simple terms and how it
affects the child. - ...
PTS: - 1 DIF: Cognitive Level: Application REF: 1248
OBJ: - Client Needs: Health Promotion and Maintenance
TOP: - Nursing Process: Implementation
... - 3. Katie, 4 years old, is admitted to outpatient surgery for
removal of a cyst on her foot. Her mother puts the hospital gown
on her, but Katie is crying because she wants to leave on her
underpants. The most appropriate nursing action is to:
a. - Allow her to wear her underpants.
b. - Discuss with her mother why this is important to Katie.
c. - Ask her mother to explain to her why she cannot wear
them.
d. - Explain in a kind, matter-of-fact manner that this is hospital
policy.
ANS: - A
, Rationale: It is appropriate for the child to leave her underpants
on. This allows her some measure of control during the foot
surgery. The mother should not be required to make the child
more upset. Katie is too young to understand what hospital policy
means. - ...
PTS: - 1 DIF: Cognitive Level: Application REF: 1249
OBJ: - Client Needs: Health Promotion and Maintenance
TOP: - Nursing Process: Implementation
... - 4. Using knowledge of child development, the best approach
when preparing a
toddler for a procedure is to:
a. - Avoid asking the child to make choices.
b. - Demonstrate the procedure on a doll.
c. - Plan for the teaching session to last about 20 minutes.
d. - Show necessary equipment without allowing child to handle
it.
ANS: - B
Rationale: Prepare toddlers for procedures by using play.
Demonstrate on a doll, but avoid the child's favorite doll because
the toddler may think the doll is really "feeling" the procedure. In
preparing a toddler for a procedure, the child is allowed to
participate in care and help whenever possible. Teaching
