Pediatrics Exam 1 Final Exam 2024- 2025 Questions And
Answers correctly Arranged And Graded A+
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. -
✔ANASWER✔-Answer: 2, 3, 4
Explanation: 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
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. - ✔ANASWER✔-Answer: 1
Explanation: 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
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 - ✔ANASWER✔-Answer: 2
Explanation: 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
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. - ✔ANASWER✔-Answer: 2
Explanation: 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.
Page Ref: 3
The telephone triage nurse at a pediatric clinic knows each call is important.
Which call would require attentiveness from the nurse because of an
increased risk of mortality?
Answers correctly Arranged And Graded A+
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. -
✔ANASWER✔-Answer: 2, 3, 4
Explanation: 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
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. - ✔ANASWER✔-Answer: 1
Explanation: 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
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 - ✔ANASWER✔-Answer: 2
Explanation: 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
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. - ✔ANASWER✔-Answer: 2
Explanation: 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.
Page Ref: 3
The telephone triage nurse at a pediatric clinic knows each call is important.
Which call would require attentiveness from the nurse because of an
increased risk of mortality?
