Test bank For Principles of Pediatric Nursing
Caring for Children, 8th Edition by Kay Cowen;
Laura Wisely; Robin Dawson; Chapters 1 - 31
,Principles of Pediatric Nursing: Caring for Children, 8e Jane W. Ball (et al.) Test Bank
Table of contents
Chapter 1: Nurse's Role in Care of the Child: Hospital, Community, and Home
Chapter 2: Family-Centered Care and Cultural Considerations
Chapter 3: Genetic and Genomic Influences
Chapter 4: Growth and Development
Chapter 5: Pediatric Assessment
Chapter 6: Introduction to Health Promotion and Maintenance
Chapter 7: Health Promotion and Maintenance for the Newborn and Infant
Chapter 8: Health Promotion and Maintenance for the Toddler and Preschooler
Chapter 9: Health Promotion and Maintenance for the School-Age Child and Adolescent
Chapter 10: Nursing Considerations for the Child in the Community
Chapter 11: Nursing Considerations for the Hospitalized Child
Chapter 12: The Child with a Chronic Condition
Chapter 13: The Child with a Life-Threatening Condition and End-of-Life Care
Chapter 14: Infant, Child, and Adolescent Nutrition
Chapter 15: Pain Assessment and Management in Children
Chapter 16: Immunizations and Communicable Diseases
Chapter 17: Social and Environmental Influences on the Child
Chapter 18: Alterations in Fluid, Electrolyte, and Acid–Base Balance
Chapter 19: Alterations in Eye, Ear, Nose, and Throat Function
Chapter 20: Alterations in Respiratory Function
Chapter 21: Alterations in Cardiovascular Function
Chapter 22: Alterations in Immune Function
Chapter 23: Alterations in Hematologic Function
Chapter 24: The Child with Cancer
Chapter 25: Alterations in Gastrointestinal Function
Chapter 26: Alterations in Genitourinary Function
Chapter 27: Alterations in Neurologic Function
Chapter 28: Alterations in Mental Health and Cognition
Chapter 29: Alterations in Musculoskeletal Function
Chapter 30: Alterations in Endocrine and Metabolic Function
,Chapter 31: Alterations in Skin Integrity
Principles of Pediatric Nursing: Caring for Children, 8e Jane W. Ball (et al.)
Chapter 1: Nurse's Role in Care of the Child: Hospital, Community, and Home
1) Which nursing role is not directly involved when providing family-centered approach to the
pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
ANSWER: 4
Explanation: 1. A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles
directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Family-centered care
2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
,participation in research trials. Based upon the client's age, the nurse would seek assent from
which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention Deficit
Hyperactivity Disorder (ADHD) treatments.
ANSWER: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
care
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
MNL LO: Developmentally appropriate care
3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
appropriate for the nurse to complete?
,1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support-
group options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
ANSWER: 1
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate
levels; client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
Page Ref: 2-4
Cognitive Level: Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Implementation/Coordination of care
,Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Pediatric nursing care
4) A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the child's recovery. Which information tool would be most useful in
answering a parent's questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
ANSWER: 2
Explanation: 1. Clinical pathways are interdisciplinary documents provided by a hospital to
suggest ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. This pathway serves as a model outlining the typical
hospital stay for individuals with specified conditions. Healthy People 2020 contains objectives
set by the U.S. government to improve the health and reduce the incidence of death in the
twenty-first century. Child mortality statistics can be compared with those from other decades for
the evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes from
specific interventions.
2. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century.
Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health-care goals. National clinical practice guidelines promote uniformity
in care for specific disease conditions by suggesting expected outcomes from specific
interventions.
3. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century.
Child mortality statistics can be compared with those from other decades for the evaluation of
,achievement toward health-care goals. National clinical practice guidelines promote uniformity
in care for specific disease conditions by suggesting expected outcomes from specific
interventions.
4. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century.
Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health-care goals. National clinical practice guidelines promote uniformity
in care for specific disease conditions by suggesting expected outcomes from specific
interventions.
Page Ref: 1, 2
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
Planning/Health teaching and health promotion
Learning Outcome: LO 1.1 Describe the continuum of pediatric healthcare.
MNL LO: Family-centered care
5) The nurse recognizes that the pediatric client is from a cultural background different from that
of the hospital staff. Which goal is most appropriate for this client when planning nursing care?
1. Overlook or minimize the differences that exist.
2. Facilitate the family's ability to comply with the care needed.
3. Avoid inadvertently offending the family by imposing the nurse's perspective.
4. Encourage complementary beneficial cultural practices as primary therapies.
ANSWER: 2
Explanation: 1. The incorporation of the family's cultural perspective into the care plan is most
likely to result in the family's ability to accept medical care and comply with the regimen
prescribed. Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent illness.
Complementary therapy may be used later if other primary therapies prove to be ineffective.
,2. The bincorporation bof bthe bfamily's bcultural bperspective binto bthe bcare bplan bis bmost blikely bto
bresult bin bthe bfamily's bability bto baccept bmedical bcare band bcomply bwith bthe bregimen
bprescribed. bSince bculture bdevelops bfrom bsocial blearning, battempts bto bignore bor bminimize
bcultural bconsideration bwill bresult bin bmistrust, bsuspicion, bor boffenses bthat bcan bhave bnegative
beffects bupon bthe bhealth bof bchildren bby breducing bthe bresources bavailable bto bpromote bhealth
band bprevent billness. bComplementary btherapy bmay bbe bused blater bif bother bprimary btherapies
bprove bto bbe bineffective.
3. The bincorporation bof bthe bfamily's bcultural bperspective binto bthe bcare bplan bis bmost blikely bto
bresult bin bthe bfamily's bability bto baccept bmedical bcare band bcomply bwith bthe bregimen
bprescribed. bSince bculture bdevelops bfrom bsocial blearning, battempts bto bignore bor bminimize
bcultural bconsideration bwill bresult bin bmistrust, bsuspicion, bor boffenses bthat bcan bhave bnegative
beffects bupon bthe bhealth bof bchildren bby breducing bthe bresources bavailable bto bpromote bhealth
band bprevent billness. bComplementary btherapy bmay bbe bused blater bif bother bprimary btherapies
bprove bto bbe bineffective.
4. The bincorporation bof bthe bfamily's bcultural bperspective binto bthe bcare bplan bis bmost blikely bto
bresult bin bthe bfamily's bability bto baccept bmedical bcare band bcomply bwith bthe bregimen
bprescribed. bSince bculture bdevelops bfrom bsocial blearning, battempts bto bignore bor bminimize
bcultural bconsideration bwill bresult bin bmistrust, bsuspicion, bor boffenses bthat bcan bhave bnegative
beffects bupon bthe bhealth bof bchildren bby breducing bthe bresources bavailable bto bpromote bhealth
band bprevent billness. bComplementary btherapy bmay bbe bused blater bif bother bprimary btherapies
bprove bto bbe bineffective. bPage bRef: b3
Cognitive b Level: b Applying
Client bNeed b&Sub: b Health bPromotion band bMaintenance
Standards: bQSEN bCompetencies: bPatient-centered bcare b| bAACN bEssential bCompetencies:
bEssential bII: bBasic borganizational band bsystems bleadership bfor bquality bcare band bpatient bsafety b|
bNLN bCompetencies: bProfessional bidentity b | bNursing/Integrated bConcepts: bNursing bProcess:
bPlanning/Coordination bof bcare
Learning bOutcome: b LO b1.3 bAnalyze bthe bcurrent bsocietal binfluences bon bpediatric bhealthcare band
bnursing bpractice.
MNL bLO: b Family-centered bcare
6) The btelephone btriage bnurse bat ba bpediatric bclinic bknows beach bcall bis bimportant. bWhich bcall
bwould brequire battentiveness bfrom bthe bnurse bbecause bof ban bincreased brisk bof bmortality?
1. A b3-week-old binfant bborn bat b35 bweeks' bgestation bwith bgastroenteritis
2. A bterm b2-week-old binfant bof bAmerican b Indian bdescent bwith ban bupper brespiratory binfection
,3. A bpostterm b4-week-old binfant bnon-Hispanic bblack bdescent bwith bmoderate bemesis bafter bfeeding
4. A b1-week-old binfant bborn bat b40 bweeks' bgestation bwith bsymptoms bof
bcolic bANSWER: b 1
Explanation: b1. bThe bleading bcauses bof bdeath bin bthe bneonatal bperiod b(birth bto b28 bdays bof bage)
bare bshort bgestation, blow bbirth bweight, band bcongenital bmalformations. bThe bpreterm binfant
bexperiencing bgastroenteritis bat b3 bweeks bof bage bis bat bthe bgreatest brisk bfor bmortality; btherefore,
bwould brequire bextra battentiveness bfrom bthe bregistered bnurse.
2. The bleading bcauses bof bdeath bin bthe bneonatal bperiod b(birth bto b28 bdays bof bage) bare bshort
bgestation, blow bbirth bweight, band bcongenital bmalformations. bThe bpreterm binfant bexperiencing
bgastroenteritis bat b3 bweeks bof bage bis bat bthe bgreatest brisk bfor bmortality; btherefore, bwould
brequire bextra battentiveness bfrom bthe bregistered bnurse.
3. The bleading bcauses bof bdeath bin bthe bneonatal bperiod b(birth bto b28 bdays bof bage) bare bshort
bgestation, blow bbirth bweight, band bcongenital bmalformations. bThe bpreterm binfant bexperiencing
bgastroenteritis bat b3 bweeks bof bage bis bat bthe bgreatest brisk bfor bmortality; btherefore, bwould
brequire bextra battentiveness bfrom bthe bregistered bnurse.
4. The bleading bcauses bof bdeath bin bthe bneonatal bperiod b(birth bto b28 bdays bof bage) bare bshort
bgestation, blow bbirth bweight, band bcongenital bmalformations. bThe bpreterm binfant bexperiencing
bgastroenteritis bat b3 bweeks bof bage bis bat bthe bgreatest brisk bfor bmortality; btherefore, bwould
brequire bextra battentiveness bfrom bthe bregistered bnurse.
Page bRef: b6, b7
Cognitive b Level: b Applying
Client bNeed b&Sub: b Health bPromotion band bMaintenance
Standards: bQSEN bCompetencies: bInformatics/Patient-centered bcare b| b AACN bEssential
bCompetencies: bEssential bIV: bInformation bmanagement band bapplication bof bpatient bcare
btechnology
| bNLN bCompetencies: bProfessional bidentity b| bNursing/Integrated bConcepts: bNursing bProcess:
bPlanning/Coordination bof bcare
Learning bOutcome: b LO b1.4 bReport bthe bmost bcommon bcauses bof bchild bmortality bby bage bgroup
band breasons bfor bhospitalization.
MNL bLO: b Developmentally bappropriate bcare
7) Despite bthe bavailability bof bChildren's bHealth bInsurance bPrograms b(CHIP), bmany
beligible bchildren bare bnot benrolled. bWhich bnursing bintervention bwould bbe bthe bmost
bappropriate bto bhelp bchildren bbecome benrolled bin bCHIP?
1. Assess bdetails bof bthe bfamily's bincome band bexpenditures
, 2. Case bmanagement bto blimit bcostly, bunnecessary bduplication bof bservices
3. Advocate bfor bthe bchild bby bencouraging bthe bfamily bto binvestigate bSCHIP beligibility
4. Educate bthe bfamily babout bthe bneed bfor bkeeping bregular bwell-child-visit
bappointments bANSWER: b 3
Explanation: b1. bIn bthe brole bof ban badvocate, ba bnurse bwill badvance bthe binterests bof banother; bby
bsuggesting bthe bfamily binvestigate bits bCHIP beligibility, bthe bnurse bis bdirecting btheir baction
btoward bthe bchild's bbest binterest. bFinancial bassessment bis bmore bcommonly bthe bfunction bof ba
bsocial bworker. bThe bcase-management bactivity bmentioned bwill bnot bprovide ba bsource bof
bfunding bnor bwill bthe beducational beffort bdescribed.
2. In bthe brole bof ban badvocate, ba bnurse bwill badvance bthe binterests bof banother; bby bsuggesting
bthe bfamily binvestigate bits bCHIP beligibility, bthe bnurse bis bdirecting btheir baction btoward bthe
bchild's bbest binterest. bFinancial bassessment bis bmore bcommonly bthe bfunction bof ba bsocial
bworker. bThe bcase- bmanagement bactivity bmentioned bwill bnot bprovide ba bsource bof bfunding
bnor bwill bthe beducational beffort bdescribed.
3. In bthe brole bof ban badvocate, ba bnurse bwill badvance bthe binterests bof banother; bby bsuggesting
bthe bfamily binvestigate bits bCHIP beligibility, bthe bnurse bis bdirecting btheir baction btoward bthe
bchild's bbest binterest. bFinancial bassessment bis bmore bcommonly bthe bfunction bof ba bsocial
bworker. bThe bcase- bmanagement bactivity bmentioned bwill bnot bprovide ba bsource bof bfunding
bnor bwill bthe beducational beffort bdescribed.
4. In bthe brole bof ban badvocate, ba bnurse bwill badvance bthe binterests bof banother; bby bsuggesting
bthe bfamily binvestigate bits bCHIP beligibility, bthe bnurse bis bdirecting btheir baction btoward bthe
bchild's bbest binterest. bFinancial bassessment bis bmore bcommonly bthe bfunction bof ba bsocial
bworker. bThe bcase- bmanagement bactivity bmentioned bwill bnot bprovide ba bsource bof bfunding
bnor bwill bthe beducational beffort bdescribed.
Page bRef: b2-4
Cognitive b Level: b Applying
Client bNeed b&Sub: b Health bPromotion band bMaintenance
Standards: bQSEN bCompetencies: bPatient-centered bcare b| bAACN bEssential bCompetencies:
bEssential bVI: bInterprofessional bcommunication band bcollaboration bfor bimproving bpatient bhealth
boutcomes b| bNLN bCompetencies: bHuman bflourishing b| bNursing/Integrated bConcepts: bNursing
Process: bPlanning/Coordination bof bcare
Learning bOutcome: b LO b1.2 bCompare bthe broles bof bnurses bin bchild
bhealthcare. bMNL b LO: b Family-centered bcare
8) A bsupervisor bis breviewing bdocumentation bof bthe bnurses bin bthe bunit. bWhich bclient
Caring for Children, 8th Edition by Kay Cowen;
Laura Wisely; Robin Dawson; Chapters 1 - 31
,Principles of Pediatric Nursing: Caring for Children, 8e Jane W. Ball (et al.) Test Bank
Table of contents
Chapter 1: Nurse's Role in Care of the Child: Hospital, Community, and Home
Chapter 2: Family-Centered Care and Cultural Considerations
Chapter 3: Genetic and Genomic Influences
Chapter 4: Growth and Development
Chapter 5: Pediatric Assessment
Chapter 6: Introduction to Health Promotion and Maintenance
Chapter 7: Health Promotion and Maintenance for the Newborn and Infant
Chapter 8: Health Promotion and Maintenance for the Toddler and Preschooler
Chapter 9: Health Promotion and Maintenance for the School-Age Child and Adolescent
Chapter 10: Nursing Considerations for the Child in the Community
Chapter 11: Nursing Considerations for the Hospitalized Child
Chapter 12: The Child with a Chronic Condition
Chapter 13: The Child with a Life-Threatening Condition and End-of-Life Care
Chapter 14: Infant, Child, and Adolescent Nutrition
Chapter 15: Pain Assessment and Management in Children
Chapter 16: Immunizations and Communicable Diseases
Chapter 17: Social and Environmental Influences on the Child
Chapter 18: Alterations in Fluid, Electrolyte, and Acid–Base Balance
Chapter 19: Alterations in Eye, Ear, Nose, and Throat Function
Chapter 20: Alterations in Respiratory Function
Chapter 21: Alterations in Cardiovascular Function
Chapter 22: Alterations in Immune Function
Chapter 23: Alterations in Hematologic Function
Chapter 24: The Child with Cancer
Chapter 25: Alterations in Gastrointestinal Function
Chapter 26: Alterations in Genitourinary Function
Chapter 27: Alterations in Neurologic Function
Chapter 28: Alterations in Mental Health and Cognition
Chapter 29: Alterations in Musculoskeletal Function
Chapter 30: Alterations in Endocrine and Metabolic Function
,Chapter 31: Alterations in Skin Integrity
Principles of Pediatric Nursing: Caring for Children, 8e Jane W. Ball (et al.)
Chapter 1: Nurse's Role in Care of the Child: Hospital, Community, and Home
1) Which nursing role is not directly involved when providing family-centered approach to the
pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
ANSWER: 4
Explanation: 1. A researcher is not involved in the family-centered approach to patient care of
children and their families. Advocacy, case management, and patient education are all roles
directly involved in the care of children and their families.
2. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
3. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
4. A researcher is not involved in the family-centered approach to patient care of children and
their families. Advocacy, case management, and patient education are all roles directly involved
in the care of children and their families.
Page Ref: 4
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Assessment/Coordination of care
Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Family-centered care
2) A nurse is working with pediatric clients in a research facility. The nurse recognizes that
federal guidelines are in place that delineate which pediatrics clients must give assent for
,participation in research trials. Based upon the client's age, the nurse would seek assent from
which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old commencing in an investigative study for clients with precocious puberty.
4. The 13-year-old client commencing participation in a research program for Attention Deficit
Hyperactivity Disorder (ADHD) treatments.
ANSWER: 2, 3, 4
Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must
receive developmentally appropriate information about healthcare procedures and treatments and
give assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive
developmentally appropriate information about healthcare procedures and treatments and give
assent.
Page Ref: 11, 12
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies:
Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of
care
Learning Outcome: LO 1.6 Examine three unique pediatric legal and ethical issues in pediatric
nursing practice.
MNL LO: Developmentally appropriate care
3) The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not
appropriate for the nurse to complete?
,1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support-
group options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
ANSWER: 1
Explanation: 1. The role of the pediatric nurse includes providing nursing assessment, directing
nursing care interventions, and educating client and family at developmentally appropriate
levels; client advocacy, case management, minimization of distress, and enhancement of coping.
Advanced practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
2. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
3. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
4. The role of the pediatric nurse includes providing nursing assessment, directing nursing care
interventions, and educating client and family at developmentally appropriate levels; client
advocacy, case management, minimization of distress, and enhancement of coping. Advanced
practice nurse practitioners perform assessment, diagnosis, and management of health
conditions.
Page Ref: 2-4
Cognitive Level: Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Implementation/Coordination of care
,Learning Outcome: LO 1.2 Compare the roles of nurses in child healthcare.
MNL LO: Pediatric nursing care
4) A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the child's recovery. Which information tool would be most useful in
answering a parent's questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
ANSWER: 2
Explanation: 1. Clinical pathways are interdisciplinary documents provided by a hospital to
suggest ideal sequencing and timing of events and interventions for specific diseases to improve
efficiency of care and enhance recovery. This pathway serves as a model outlining the typical
hospital stay for individuals with specified conditions. Healthy People 2020 contains objectives
set by the U.S. government to improve the health and reduce the incidence of death in the
twenty-first century. Child mortality statistics can be compared with those from other decades for
the evaluation of achievement toward health-care goals. National clinical practice guidelines
promote uniformity in care for specific disease conditions by suggesting expected outcomes from
specific interventions.
2. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century.
Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health-care goals. National clinical practice guidelines promote uniformity
in care for specific disease conditions by suggesting expected outcomes from specific
interventions.
3. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century.
Child mortality statistics can be compared with those from other decades for the evaluation of
,achievement toward health-care goals. National clinical practice guidelines promote uniformity
in care for specific disease conditions by suggesting expected outcomes from specific
interventions.
4. Clinical pathways are interdisciplinary documents provided by a hospital to suggest ideal
sequencing and timing of events and interventions for specific diseases to improve efficiency of
care and enhance recovery. This pathway serves as a model outlining the typical hospital stay for
individuals with specified conditions. Healthy People 2020 contains objectives set by the U.S.
government to improve the health and reduce the incidence of death in the twenty-first century.
Child mortality statistics can be compared with those from other decades for the evaluation of
achievement toward health-care goals. National clinical practice guidelines promote uniformity
in care for specific disease conditions by suggesting expected outcomes from specific
interventions.
Page Ref: 1, 2
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
Planning/Health teaching and health promotion
Learning Outcome: LO 1.1 Describe the continuum of pediatric healthcare.
MNL LO: Family-centered care
5) The nurse recognizes that the pediatric client is from a cultural background different from that
of the hospital staff. Which goal is most appropriate for this client when planning nursing care?
1. Overlook or minimize the differences that exist.
2. Facilitate the family's ability to comply with the care needed.
3. Avoid inadvertently offending the family by imposing the nurse's perspective.
4. Encourage complementary beneficial cultural practices as primary therapies.
ANSWER: 2
Explanation: 1. The incorporation of the family's cultural perspective into the care plan is most
likely to result in the family's ability to accept medical care and comply with the regimen
prescribed. Since culture develops from social learning, attempts to ignore or minimize cultural
consideration will result in mistrust, suspicion, or offenses that can have negative effects upon
the health of children by reducing the resources available to promote health and prevent illness.
Complementary therapy may be used later if other primary therapies prove to be ineffective.
,2. The bincorporation bof bthe bfamily's bcultural bperspective binto bthe bcare bplan bis bmost blikely bto
bresult bin bthe bfamily's bability bto baccept bmedical bcare band bcomply bwith bthe bregimen
bprescribed. bSince bculture bdevelops bfrom bsocial blearning, battempts bto bignore bor bminimize
bcultural bconsideration bwill bresult bin bmistrust, bsuspicion, bor boffenses bthat bcan bhave bnegative
beffects bupon bthe bhealth bof bchildren bby breducing bthe bresources bavailable bto bpromote bhealth
band bprevent billness. bComplementary btherapy bmay bbe bused blater bif bother bprimary btherapies
bprove bto bbe bineffective.
3. The bincorporation bof bthe bfamily's bcultural bperspective binto bthe bcare bplan bis bmost blikely bto
bresult bin bthe bfamily's bability bto baccept bmedical bcare band bcomply bwith bthe bregimen
bprescribed. bSince bculture bdevelops bfrom bsocial blearning, battempts bto bignore bor bminimize
bcultural bconsideration bwill bresult bin bmistrust, bsuspicion, bor boffenses bthat bcan bhave bnegative
beffects bupon bthe bhealth bof bchildren bby breducing bthe bresources bavailable bto bpromote bhealth
band bprevent billness. bComplementary btherapy bmay bbe bused blater bif bother bprimary btherapies
bprove bto bbe bineffective.
4. The bincorporation bof bthe bfamily's bcultural bperspective binto bthe bcare bplan bis bmost blikely bto
bresult bin bthe bfamily's bability bto baccept bmedical bcare band bcomply bwith bthe bregimen
bprescribed. bSince bculture bdevelops bfrom bsocial blearning, battempts bto bignore bor bminimize
bcultural bconsideration bwill bresult bin bmistrust, bsuspicion, bor boffenses bthat bcan bhave bnegative
beffects bupon bthe bhealth bof bchildren bby breducing bthe bresources bavailable bto bpromote bhealth
band bprevent billness. bComplementary btherapy bmay bbe bused blater bif bother bprimary btherapies
bprove bto bbe bineffective. bPage bRef: b3
Cognitive b Level: b Applying
Client bNeed b&Sub: b Health bPromotion band bMaintenance
Standards: bQSEN bCompetencies: bPatient-centered bcare b| bAACN bEssential bCompetencies:
bEssential bII: bBasic borganizational band bsystems bleadership bfor bquality bcare band bpatient bsafety b|
bNLN bCompetencies: bProfessional bidentity b | bNursing/Integrated bConcepts: bNursing bProcess:
bPlanning/Coordination bof bcare
Learning bOutcome: b LO b1.3 bAnalyze bthe bcurrent bsocietal binfluences bon bpediatric bhealthcare band
bnursing bpractice.
MNL bLO: b Family-centered bcare
6) The btelephone btriage bnurse bat ba bpediatric bclinic bknows beach bcall bis bimportant. bWhich bcall
bwould brequire battentiveness bfrom bthe bnurse bbecause bof ban bincreased brisk bof bmortality?
1. A b3-week-old binfant bborn bat b35 bweeks' bgestation bwith bgastroenteritis
2. A bterm b2-week-old binfant bof bAmerican b Indian bdescent bwith ban bupper brespiratory binfection
,3. A bpostterm b4-week-old binfant bnon-Hispanic bblack bdescent bwith bmoderate bemesis bafter bfeeding
4. A b1-week-old binfant bborn bat b40 bweeks' bgestation bwith bsymptoms bof
bcolic bANSWER: b 1
Explanation: b1. bThe bleading bcauses bof bdeath bin bthe bneonatal bperiod b(birth bto b28 bdays bof bage)
bare bshort bgestation, blow bbirth bweight, band bcongenital bmalformations. bThe bpreterm binfant
bexperiencing bgastroenteritis bat b3 bweeks bof bage bis bat bthe bgreatest brisk bfor bmortality; btherefore,
bwould brequire bextra battentiveness bfrom bthe bregistered bnurse.
2. The bleading bcauses bof bdeath bin bthe bneonatal bperiod b(birth bto b28 bdays bof bage) bare bshort
bgestation, blow bbirth bweight, band bcongenital bmalformations. bThe bpreterm binfant bexperiencing
bgastroenteritis bat b3 bweeks bof bage bis bat bthe bgreatest brisk bfor bmortality; btherefore, bwould
brequire bextra battentiveness bfrom bthe bregistered bnurse.
3. The bleading bcauses bof bdeath bin bthe bneonatal bperiod b(birth bto b28 bdays bof bage) bare bshort
bgestation, blow bbirth bweight, band bcongenital bmalformations. bThe bpreterm binfant bexperiencing
bgastroenteritis bat b3 bweeks bof bage bis bat bthe bgreatest brisk bfor bmortality; btherefore, bwould
brequire bextra battentiveness bfrom bthe bregistered bnurse.
4. The bleading bcauses bof bdeath bin bthe bneonatal bperiod b(birth bto b28 bdays bof bage) bare bshort
bgestation, blow bbirth bweight, band bcongenital bmalformations. bThe bpreterm binfant bexperiencing
bgastroenteritis bat b3 bweeks bof bage bis bat bthe bgreatest brisk bfor bmortality; btherefore, bwould
brequire bextra battentiveness bfrom bthe bregistered bnurse.
Page bRef: b6, b7
Cognitive b Level: b Applying
Client bNeed b&Sub: b Health bPromotion band bMaintenance
Standards: bQSEN bCompetencies: bInformatics/Patient-centered bcare b| b AACN bEssential
bCompetencies: bEssential bIV: bInformation bmanagement band bapplication bof bpatient bcare
btechnology
| bNLN bCompetencies: bProfessional bidentity b| bNursing/Integrated bConcepts: bNursing bProcess:
bPlanning/Coordination bof bcare
Learning bOutcome: b LO b1.4 bReport bthe bmost bcommon bcauses bof bchild bmortality bby bage bgroup
band breasons bfor bhospitalization.
MNL bLO: b Developmentally bappropriate bcare
7) Despite bthe bavailability bof bChildren's bHealth bInsurance bPrograms b(CHIP), bmany
beligible bchildren bare bnot benrolled. bWhich bnursing bintervention bwould bbe bthe bmost
bappropriate bto bhelp bchildren bbecome benrolled bin bCHIP?
1. Assess bdetails bof bthe bfamily's bincome band bexpenditures
, 2. Case bmanagement bto blimit bcostly, bunnecessary bduplication bof bservices
3. Advocate bfor bthe bchild bby bencouraging bthe bfamily bto binvestigate bSCHIP beligibility
4. Educate bthe bfamily babout bthe bneed bfor bkeeping bregular bwell-child-visit
bappointments bANSWER: b 3
Explanation: b1. bIn bthe brole bof ban badvocate, ba bnurse bwill badvance bthe binterests bof banother; bby
bsuggesting bthe bfamily binvestigate bits bCHIP beligibility, bthe bnurse bis bdirecting btheir baction
btoward bthe bchild's bbest binterest. bFinancial bassessment bis bmore bcommonly bthe bfunction bof ba
bsocial bworker. bThe bcase-management bactivity bmentioned bwill bnot bprovide ba bsource bof
bfunding bnor bwill bthe beducational beffort bdescribed.
2. In bthe brole bof ban badvocate, ba bnurse bwill badvance bthe binterests bof banother; bby bsuggesting
bthe bfamily binvestigate bits bCHIP beligibility, bthe bnurse bis bdirecting btheir baction btoward bthe
bchild's bbest binterest. bFinancial bassessment bis bmore bcommonly bthe bfunction bof ba bsocial
bworker. bThe bcase- bmanagement bactivity bmentioned bwill bnot bprovide ba bsource bof bfunding
bnor bwill bthe beducational beffort bdescribed.
3. In bthe brole bof ban badvocate, ba bnurse bwill badvance bthe binterests bof banother; bby bsuggesting
bthe bfamily binvestigate bits bCHIP beligibility, bthe bnurse bis bdirecting btheir baction btoward bthe
bchild's bbest binterest. bFinancial bassessment bis bmore bcommonly bthe bfunction bof ba bsocial
bworker. bThe bcase- bmanagement bactivity bmentioned bwill bnot bprovide ba bsource bof bfunding
bnor bwill bthe beducational beffort bdescribed.
4. In bthe brole bof ban badvocate, ba bnurse bwill badvance bthe binterests bof banother; bby bsuggesting
bthe bfamily binvestigate bits bCHIP beligibility, bthe bnurse bis bdirecting btheir baction btoward bthe
bchild's bbest binterest. bFinancial bassessment bis bmore bcommonly bthe bfunction bof ba bsocial
bworker. bThe bcase- bmanagement bactivity bmentioned bwill bnot bprovide ba bsource bof bfunding
bnor bwill bthe beducational beffort bdescribed.
Page bRef: b2-4
Cognitive b Level: b Applying
Client bNeed b&Sub: b Health bPromotion band bMaintenance
Standards: bQSEN bCompetencies: bPatient-centered bcare b| bAACN bEssential bCompetencies:
bEssential bVI: bInterprofessional bcommunication band bcollaboration bfor bimproving bpatient bhealth
boutcomes b| bNLN bCompetencies: bHuman bflourishing b| bNursing/Integrated bConcepts: bNursing
Process: bPlanning/Coordination bof bcare
Learning bOutcome: b LO b1.2 bCompare bthe broles bof bnurses bin bchild
bhealthcare. bMNL b LO: b Family-centered bcare
8) A bsupervisor bis breviewing bdocumentation bof bthe bnurses bin bthe bunit. bWhich bclient
