Test Bank For Davis Advantage For Pediatric Nursing: Critical Components Of Nursing Care, 3Rd Edition

, Rudd 1
Davis Advantage for Pediatric
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Nursing Bank
Chapter 1 Issues and Trends in Pediatric Nursing
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The nurse has provided a presentation to middle school children about nursing as
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a career. One of the children stated that he wanted to be a pediatric nurse,
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because he wants to take care of babies and little ―kids.‖ What would be an
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appropriate response to this middle school–aged child?
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1. ―Nursing is a general practice; all nurses must know how to take care of ss ss ss ss ss s s ss ss ss ss ss ss ss



all ages of patients.‖
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2. ―As a pediatric nurse, you would get to care for babies and little kids
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as well as children through their teenage years.‖
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3. ―What you are describing is actually a neonatal nurse. Neonatal nurses work
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with newborn babies, toddlers, and preschool-age children.‖
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4. ―Being a pediatric nurse requires a master’s degree, so be sure to ss ss ss ss ss ss ss ss ss ss ss



work hard in school!‖
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2. The medical-surgical float nurse is assigned to the pediatric unit for the first
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time and states that the skills are ―the same as general nursing since children
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are little adults with smaller bodies.‖ What component of pediatric nursing
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contraindicates this statement?
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1. Pediatric nursing involves care based on the developmental level of the patient.
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2. Pediatric nursing involves the patient’s family in the plan of care. ss s s s s s s s s s s s s s s s s s s



3. Pediatric nursing in based on prevention of infectious diseases. ss s s s s s s s s s s s s s s



4. Pediatric nursing involves cultural sensitivity in patient care. ss s s s s s s s s s s s s




3. The culturally sensitive pediatric nurse is aware of the racial makeup of
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the U.S. population. Which of the following reflects the demographics of the
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U.S. pediatric population in 2018, based on U.S. Census Bureau data?
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1. The American Indian and Alaska Native population represent one-fifth of
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the pediatric population.
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2. About half of the children fall in the category of something other than
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White non- Hispanic.
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3. The population of Asian children decreased from 2015 to 2018.
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4. There was no change in the population of Non-Hispanic children who
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represent two or more races between 2015 and 2018.
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4. The nurse at a family clinic is providing care to an adolescent patient diagnosed
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with diabetes. The patient has verbalized discomfort with the feelings of isolation
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when unable to drink alcohol with their friends. Which of the following would
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be the most appropriate response to this statement?
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1. ―Drinking alcohol is not only illegal but dangerous for your blood sugar ss ss ss ss ss ss ss ss ss ss ss



control and overall well-being.‖
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2. ―You can still drink alcohol, in moderation, if you control the sugar spike
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with more insulin.‖
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3. ―Prepare for alcohol intake with more water and less carbohydrates before ss ss ss ss ss ss ss ss ss ss



drinking to slow sugar spikes.‖
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4. ―It is understandable that you want to be included, but perhaps we can
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work out a plan on how to work through those situations.‖
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Davis Advantage for Pediatric s s Test s s s s



Nursing Bank
5. Which statement best describes the common core concepts of the different models
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of pediatric nursing?
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1. All models focus on the open communication between the child and nurse.
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2. All models focus on importance of family relationship to the child.
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3. All models focus on safeguarding the child’s dignity during care.
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4. All models focus on coordination of care needs that arise during illness.
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6. Which of the following tasks is associated with the pediatric medical home care
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model of pediatric nursing?
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1. The nurse refers the family to a childhood cancer support group
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prior to discharge from the hospital.
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2. The nurse includes a simple explanation of the procedure to the child based
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on the child’s developmental level.
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3. The nurse includes the family’s cultural celebrations and observations
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while providing care to the child.
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4. The nurse develops the plan of care with the child and family as the
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focal point of the interventions.
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7. The pediatric nurse begins a research project on 8-year-old patients with the
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medical diagnosis of pediatric acute-onset neuropsychiatric syndrome (PANS).
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The family has consented to the research, but as the nurse begins to
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administer the intervention, the patient refuses to cooperate. What is the
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appropriate response to this refusal?
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1. The nurse should discuss with the family the options of performing
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the intervention without the child’s knowledge.
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2. The nurse should explain to the child that this is necessary and
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promise a reward at the end of the research project.
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3. The nurse should refuse to perform the intervention until the child consents
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to the intervention and project.
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4. The nurse should discuss the pros and cons of the research project
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with the child and focus on the outcomes.
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8. A nurse is providing relationship-based care to a pediatric patient. Which of
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the following is a challenge the nurse is likely to encounter while using
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this model of care?
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1. Maintaining a sterile field for a procedure with a restless toddler ss s s s s s s s s s s s s s s s s s s



2. Communicating with the blended family on regular basis s s s s ss s s s s s s s s



3. Treating children with antibiotic-resistant illnesses ss s s s s s s



4. Caring for a larger number of children with autism spectrum disorders
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and childhood depression
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9. The pediatric nurse desires to expand his or her career options to become the
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hospital’s nurse educator of pediatrics. Which of the following is necessary
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for this nurse to achieve this career goal?
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1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
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2. The nurse must earn a minimum of a doctorate degree in nursing.
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3. The nurse must implement and develop research in nursing practice.
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4. The nurse must implement a plan to obtain certification in pediatrics.
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, Rudd 3
Davis Advantage for Pediatric s s Test s s s s



Nursing Bank
s s 10. The school nurse is developing a teaching session for the population of
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children in a middle school. The nurse has determined that the greatest need
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for the overall health of the children is promotion of healthy foods. Which of
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the following interventions is most likely to be effective?
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1. Remove all unhealthy snacks from the vending machines. s s s s s s s s s s s s s s



2. Have a poster contest on healthy eating options. s s s s s s s s s s s s s s



3. Survey the student population during lunch breaks. s s s s s s s s s s s s



4. Engage the students in healthy choices with cooking lessons. ss s s s s s s s s s s s s s s




s s 11. The nurse recognizes the needs of professional development to provide safe and
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effective care to the pediatric population by attending which of the following
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courses?
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1. Procedure with rationale to administer human papilloma vaccine to the ss ss s s ss ss ss ss ss ss



middle school population
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2. Study review of the incidence of bullying and intimidation in the
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elementary school population
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3. Demographic study of the U.S. population with regard to cultural diversity ss ss ss ss ss ss ss ss ss ss



and practices
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4. How to provide individual health care education for the children without
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parental interference
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s s 12. Which of the following continuing education courses would best enhance the
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pediatric nurse’s practice in relationship to current trends?
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1. Evidence-based practice on improving antibiotic adherence with education to ss ss ss ss ss ss ss ss



the family unit
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2. Evidence-based practice on proper administration of antibiotics for children ss ss ss ss ss ss ss ss



with autoimmune diseases
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3. How to enhance communication with children in regards to adherence to
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antibiotic use
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4. How to decrease instances of exacerbation of infections of children
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with autoimmune diseases with antibiotics
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s s 13. The pediatric nurse is developing interventions for a school-aged child based on the
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nursing diagnosis of imbalanced nutrition related to a body mass index (BMI) of 37 and poor
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food choices as evidenced by patient’s mother’s food diary for the family and
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child’s statements of food preferences. Which of the following would be an
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appropriate nursing intervention?
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1. Provide the child and family with information from https://www.MyPlate.gov
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for healthy food options.
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2. Increase the child’s activity by incorporating the child’s friends into a
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plan of healthy exercise options.
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3. Explain the importance of balancing diet and exercise to prevent obesity to
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the child and family.
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4. Provide information on the increased risk for potential disease processes
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such as diabetes and hypertension.
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14. The nurse is developing interventions for a transgender adolescent based on the nursin
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s s diagnosis
decreased self-esteem related to transgender identity as evidenced by statements of feeling
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“worthless, different, and alone.” What would be the most appropriate intervention based on
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the diagnosis? s s ss



1. Give positive feedback on personal choices as appropriate.
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