CJE PEDIATRICS TEST PAPER ANSWERS AND
QUESTIONS SET A+
✔✔Madelyn Harrison - ✔✔Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- increased
Safety- increased
✔✔Madelyn Harrison - ✔✔Alteration in Nutrition
Ineffectual health management
Anxiety
Knowledge deficit
✔✔Madelyn Harrison- Scenario 1 - ✔✔Ask Madelyn if she has any concerns to be
addressed
Have Madelyn perform a 24- hour food recall
Ask Madelyn what are her favorite foods
Have Madelyn describe her normal activities
Document findings in the electronic health record
✔✔Madelyn Harrison- Scenario 2 - ✔✔Assess blood glucose level, determine it is 51
mg/dL
Provide 15 grams oral glucose, such as 120 mL orange juice or sweetened soda
Check blood glucose level 15 minutes later, determine it is 52 mg/dL
Repeat 15 grams of oral glucose, recheck blood glucose 15 minutes later
If blood glucose is correct to WNL, provide a protein snack or meal
✔✔Madelyn Harrison- Scenario 3 - ✔✔Have Madelyn lie down on her left side on the
cot
Dim lights in the clinic
Reassess B/P in 15 minutes, Result is 154/88 mmHg
Notify parent of hypertension and headache, recommend take to pediatrician today, if
not available take to the Emergency Room for evaluation
, Document findings
✔✔Madelyn Harrison- Scenario 4 - ✔✔Knock quietly and enter the room
Ask Madelyn if it is OK to sit with her for a bit
Listen to Madelyn's concerns about her health conditions and frustrations.
Provide age appropriate information to Madelyn about the need to control her diabetes
and blood pressure
Assess knowledge gained through teach back from Madelyn regarding plan of care
✔✔Madelyn Harrison- Scenario 5 - ✔✔Check basic life support - airway, breathing,
circulation
Check for potential injuries to patient
Assess blood pressure, pulse, oxygen saturation while still on the floor
Assist back to the bed, complete an assessment
Complete an incident form
✔✔Paula Smith - ✔✔Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- increased
Safety- increased
✔✔Paula Smith - ✔✔Alteration in nutrition, less than body requirements
Ineffectual health management
Alteration in self esteem
Ineffectual coping
✔✔Paula Smith Scenario 1 - ✔✔Introduce self, ask Paula to tell you about herself,
including self-esteem and body image
Perform a basic physical assessment and document findings
Ask Paula to write down a 24-hour food recall, and exercise routine
Talk with Paula about the findings and the need for counseling and nutritional support
Refer Paula to a nutritionist and psychiatrist
✔✔Paula Smith Scenario 2 - ✔✔Perform a baseline physical assessment including
weight, height, and BMI
Inform Paula that all meals and snacks will be supervised
Talk with Paula about the need for continuous supervision for 30 minutes after each
meal.
Talk with Paula about the routine of the unit, and the schedule for meals
Document findings and teaching in Paula's chart
✔✔Paula Smith Scenario 3 - ✔✔Provide Paula with a menu to choose foods
Sit with Paula as she eats her food
QUESTIONS SET A+
✔✔Madelyn Harrison - ✔✔Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- increased
Safety- increased
✔✔Madelyn Harrison - ✔✔Alteration in Nutrition
Ineffectual health management
Anxiety
Knowledge deficit
✔✔Madelyn Harrison- Scenario 1 - ✔✔Ask Madelyn if she has any concerns to be
addressed
Have Madelyn perform a 24- hour food recall
Ask Madelyn what are her favorite foods
Have Madelyn describe her normal activities
Document findings in the electronic health record
✔✔Madelyn Harrison- Scenario 2 - ✔✔Assess blood glucose level, determine it is 51
mg/dL
Provide 15 grams oral glucose, such as 120 mL orange juice or sweetened soda
Check blood glucose level 15 minutes later, determine it is 52 mg/dL
Repeat 15 grams of oral glucose, recheck blood glucose 15 minutes later
If blood glucose is correct to WNL, provide a protein snack or meal
✔✔Madelyn Harrison- Scenario 3 - ✔✔Have Madelyn lie down on her left side on the
cot
Dim lights in the clinic
Reassess B/P in 15 minutes, Result is 154/88 mmHg
Notify parent of hypertension and headache, recommend take to pediatrician today, if
not available take to the Emergency Room for evaluation
, Document findings
✔✔Madelyn Harrison- Scenario 4 - ✔✔Knock quietly and enter the room
Ask Madelyn if it is OK to sit with her for a bit
Listen to Madelyn's concerns about her health conditions and frustrations.
Provide age appropriate information to Madelyn about the need to control her diabetes
and blood pressure
Assess knowledge gained through teach back from Madelyn regarding plan of care
✔✔Madelyn Harrison- Scenario 5 - ✔✔Check basic life support - airway, breathing,
circulation
Check for potential injuries to patient
Assess blood pressure, pulse, oxygen saturation while still on the floor
Assist back to the bed, complete an assessment
Complete an incident form
✔✔Paula Smith - ✔✔Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- increased
Safety- increased
✔✔Paula Smith - ✔✔Alteration in nutrition, less than body requirements
Ineffectual health management
Alteration in self esteem
Ineffectual coping
✔✔Paula Smith Scenario 1 - ✔✔Introduce self, ask Paula to tell you about herself,
including self-esteem and body image
Perform a basic physical assessment and document findings
Ask Paula to write down a 24-hour food recall, and exercise routine
Talk with Paula about the findings and the need for counseling and nutritional support
Refer Paula to a nutritionist and psychiatrist
✔✔Paula Smith Scenario 2 - ✔✔Perform a baseline physical assessment including
weight, height, and BMI
Inform Paula that all meals and snacks will be supervised
Talk with Paula about the need for continuous supervision for 30 minutes after each
meal.
Talk with Paula about the routine of the unit, and the schedule for meals
Document findings and teaching in Paula's chart
✔✔Paula Smith Scenario 3 - ✔✔Provide Paula with a menu to choose foods
Sit with Paula as she eats her food
