Peds Nursing Final Exam Questions & Answers Correct & Verified

Parents of a 12-year-old report to the nurse that the child watches 6 hours of television per day. Which conditions is the child at risk for (select all that apply): A.) Depression B.) Drug abuse C.) Alcoholism D.) Eating disorder E.) Attention-deficit disorder - B, C, D Which statement by the nurse may result in a poor outcome in a child who has behavioral problems? A.) "Please put that book down" B.) "Let's talk about it and see what we can decide" C.) "I am sorry, but I can't read you a story right now" D.) "When the television show is over, it will be time for dinner" - B Which term refers to a shared culture, social, and linguistic heritage? A.) Beliefs B.) Culture C.) Ethnicity D.) Socialization - C The nurse is educating parents about behavior modification techniques. Which instruction would the nurse provide to help with disciplining their children (select all that apply): A.) Use a moderate amount of spankingB.) Use corporal punishment whenever needed C.) Use rewards to encourage positive behavior D.) Promise a visit to the zoo for good behavior E.) Use time-outs to help the child become calm - C, D, E Which factors will influence self-care in the chronically ill hospitalized child (select all that apply): A.) Child's level of interest B.) Child's physical ability C.) The parent doing all care D.) Child's developmental age E.) Child's interest in spirituality - A, B, D Which intervention by the nurse can help ease negative feelings and fear in a 5- year old child being admitted to the hospital? A.) Preparing the child for the hospital experience B.) Not intervention because children this age cannot be prepared C.) No intervention because preparation will increase the child's stress D.) Preparing the child for the potential negative effects of hospitalization - A The nurse removes an intravenous (IV) needle from a toddler's hand and quickly covers the area with a bandage. Why is a bandage particularly important in this age group? A.) Because the bandage promotes independence B.) Because the bandage promotes freedom of movement C.) Because toddlers have poorly defined body boundaries D.) Because the bandage demonstrates respect to the child - CThe nurse working in an outpatient surgery center for children understands which concept? A.) Children's anxiety is minimal in such a center B.) Waiting is not stressful for parents in such a center C.) Families need to be prepared for what to expect after discharge D.) Accurate and complete discharge teaching is the responsibility of the surgeon - C What is a common experience of a sibling during a sister's or brother's illness or hospitalization? A.) Anger B.) Support C.) Detachment D.) Positive adaptation - A What is the primary goal of care coordination? A.) Providing timely care B.) Ensuring access to a variety of services C.) Reducing the financial cost of health care D.) Ensuring continuity across various settings - D What behavior does the nurse expect when caring for a preschool-age child admitted to the hospital (select all that apply): A.) Develops trust in adults B.) Cries quietly for the parents C.) Tolerates brief periods of separationD.) Refuses to comply with the usual routines E.) Attempts to physically keep the parents near - A, B, C The nurse is providing care to a school-age-child in an ambulatory setting. What are the benefits of ambulatory care (select all that apply): A.) Increased cost savings B.) Reduces chances of infection C.) Reduced time for preparation D.) No separation anxiety in the child E.) Minimized stressors compared to hospitalization - A, B, D, E What are some environmental stressors for the child and family in the pediatric intensive care unit (select all that apply): A.) Pain B.) Immobility C.) Constant lights D.) Sleep deprivation E.) Unfamiliar sounds - C, E What are the different stages of separation anxiety in children (select all that apply): A.) Protest B.) Despair C.) Approval D.) Regression E.) Detachment - A, B, EWhat change does the nurse teach the parents to expect in their child after prolonged hospitalization? A.) Anger toward parents B.) Jealousy toward siblings C.) Repressed feeling of resentment D.) Regression in newly learned skills - D What is the most common reaction of many parents to their child's hospitalization? A.) Relief B.) Anger C.) Helplessness D.) Depression - C During which phase of separation anxiety is a toddler most likely to cling to the parent? A.) Protest B.) Inactivity C.) Depression D.) Regression to earlier behavior - A The nurse is caring for a child whose parents are unable to stay with the child for long hours. Which action by the nurse helps to ease the feelings of separation from home? A.) Surround the child with familiar items B.) Move the child's bed towards the window C.) Provide musical, visual or tactile activitiesD.) Allow the child to continue school lessons - A