CJE PEDIATRICS STUDY EXAMS GUIDE ANSWERS
AND QUESTIONS SET A+
✔✔Mark Quinn Scenario 3 - ✔✔Gather supplies and prepare for dressing change
Put on clean gloves and take off old dressing, discard in red biohazard bag
Wash hands, and put on sterile gloves
Clean surgical site with sterile water and apply antibiotic ointment
Place new dressing over wound and secure
✔✔Mark Quinn Scenario 4 - ✔✔Turn off suction
Mark has been tolerating PO fluids for the last 4 hours with no nausea
Elevate head of bed
Have Mark take deep breath and blow out
Efficiently pull out NG tube and document procedure
✔✔Mark Quinn Scenario 5 - ✔✔Report any signs of infection such as redness,
increased drainage, fever
Teach Mark and parents about no lifting, straining, jumping, or running
Teach Mark and parents soft diet with limited fiber for 2 weeks
Take stool softener nightly for next week
Provide follow up doctor appointment and time
✔✔Hannah Johnson - ✔✔Educational- Increased
Health- increased
Pain- increased
Safety- increased
✔✔Hannah Johnson - ✔✔Decreased effectiveness of breathing pattern
Dehydration
Infection
Knowledge deficit
Potential for injury
Growth and development
, ✔✔Hannah Johnson Scenario 1 - ✔✔Apply Therapeutic Communication/ Active
Listening
Educate Hannah regarding insulin
Allow Hannah to practice with doll
Allow Hannah to return demonstration
Evaluate teaching
✔✔Hannah Johnson Scenario 2 - ✔✔Provide carbohydrate education (CHO) for patient
and parents
Provide quick reference tool for CHO
You demonstrate using reference tool
Patient and parents identify appropriate substitution
Document education
✔✔Hannah Johnson Scenario 3 - ✔✔Assess patient
Perform bedside blood glucose test (CBG result 56)
Obtain carbohydrate snack
Retake beside blood glucose test in 30 minutes ( CBG results 94)
Document nursing actions
✔✔Hannah Johnson Scenario 4 - ✔✔Wash and glove hands
Assess abdomen area (findings-rash)
Notify physician of findings
Administer PO benadryl
Notify parents of antibiotic allergic reaction
✔✔Hannah Johnson Scenario 5 - ✔✔Ask Hannah what she means by being "different"
Ask Hannah what she knows about type 1 diabetes
Explain to Hannah that she can resume normal activities at home and school
Have Hannah talk about her fears related to normal activities at home and school
Provide further information to Hannah about activities and type 1 diabetes
✔✔Baby Harris - ✔✔Educational- increased
Health- increased
LOC- increased
Pain- increased
Psych- increased
Safety- increased
✔✔Baby Harris - ✔✔Alteration in nutrition; less than body requirements
Potential for altered thermoregulation
Potential for blood glucose instability
✔✔Baby Harris Scenario 1 - ✔✔Communicate with the newborns mother about any
other substances that were used during pregnancy.
AND QUESTIONS SET A+
✔✔Mark Quinn Scenario 3 - ✔✔Gather supplies and prepare for dressing change
Put on clean gloves and take off old dressing, discard in red biohazard bag
Wash hands, and put on sterile gloves
Clean surgical site with sterile water and apply antibiotic ointment
Place new dressing over wound and secure
✔✔Mark Quinn Scenario 4 - ✔✔Turn off suction
Mark has been tolerating PO fluids for the last 4 hours with no nausea
Elevate head of bed
Have Mark take deep breath and blow out
Efficiently pull out NG tube and document procedure
✔✔Mark Quinn Scenario 5 - ✔✔Report any signs of infection such as redness,
increased drainage, fever
Teach Mark and parents about no lifting, straining, jumping, or running
Teach Mark and parents soft diet with limited fiber for 2 weeks
Take stool softener nightly for next week
Provide follow up doctor appointment and time
✔✔Hannah Johnson - ✔✔Educational- Increased
Health- increased
Pain- increased
Safety- increased
✔✔Hannah Johnson - ✔✔Decreased effectiveness of breathing pattern
Dehydration
Infection
Knowledge deficit
Potential for injury
Growth and development
, ✔✔Hannah Johnson Scenario 1 - ✔✔Apply Therapeutic Communication/ Active
Listening
Educate Hannah regarding insulin
Allow Hannah to practice with doll
Allow Hannah to return demonstration
Evaluate teaching
✔✔Hannah Johnson Scenario 2 - ✔✔Provide carbohydrate education (CHO) for patient
and parents
Provide quick reference tool for CHO
You demonstrate using reference tool
Patient and parents identify appropriate substitution
Document education
✔✔Hannah Johnson Scenario 3 - ✔✔Assess patient
Perform bedside blood glucose test (CBG result 56)
Obtain carbohydrate snack
Retake beside blood glucose test in 30 minutes ( CBG results 94)
Document nursing actions
✔✔Hannah Johnson Scenario 4 - ✔✔Wash and glove hands
Assess abdomen area (findings-rash)
Notify physician of findings
Administer PO benadryl
Notify parents of antibiotic allergic reaction
✔✔Hannah Johnson Scenario 5 - ✔✔Ask Hannah what she means by being "different"
Ask Hannah what she knows about type 1 diabetes
Explain to Hannah that she can resume normal activities at home and school
Have Hannah talk about her fears related to normal activities at home and school
Provide further information to Hannah about activities and type 1 diabetes
✔✔Baby Harris - ✔✔Educational- increased
Health- increased
LOC- increased
Pain- increased
Psych- increased
Safety- increased
✔✔Baby Harris - ✔✔Alteration in nutrition; less than body requirements
Potential for altered thermoregulation
Potential for blood glucose instability
✔✔Baby Harris Scenario 1 - ✔✔Communicate with the newborns mother about any
other substances that were used during pregnancy.
