Which nursing role is not directly in-
volved when providing family-
centered approach to the pediatric
population?
1. Advocacy 4. Researcher
2. Case management
3. Patient education
4. Researcher
A nurse is working with pediatric clients
in a research facility. The nurse recog-
nizes that federal guidelines are in place
that delineate which pediatrics clients
must give assent for participation in re-
search trials. Based upon the clients age, the nurse would seek assent from which
pant.
children? Select all that apply. 1a cystic fibrosis research-study partici- 2to
receive a newly developed medica- tion, now being researched. 3. The precocious
4-year-old starting as . The 7-year-old leukemia client electing . The 10-year-old
starting in an inves- ticipation in a research program for ADHD treatments. 2to
, PEDS EXAM 1 (TESTBANK)
receive a newly developed medication, now being researched. 3tigative study for
clients with precocious puberty. 4. The 7-year-old leukemia client electing . The
10-year-old starting in an inves- . The 13-year-old client beginning par-
tigative study for clients with precocious puberty.
4. The 13-year-old client beginning par- ticipation
in a research program for
ADHD treatments.
The nurse in a pediatric acute-care unit
is assigned the following tasks. Which
task is not appropriate for the registered
to nurse complete?
1. Diagnose an 8-year-old with acute oti-
tis media and prescribe an antibiotic. 1. Diagnose an 8-year-old with acute oti-
2. Listen to the concerns of an ado- tis media and prescribe an antibiotic.
lescent about being out of school for a lengthy
surgical recovery.
, PEDS EXAM 1 (TESTBANK)
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.
A 7-year-old child is admitted for acute
appendicitis. The parents are question-
ing the nurse about expectations during
the childs recovery. Which information
tool would be most useful in answering
a parents questions about the timing of 2. Clinical pathways key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines The nurse recognizes that the pediatric
client is from a cultural background differ- ent 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.
2. Facilitate the family's ability to comply
with the care needed. 3. Avoid inadvertently offending the fam-
ily by imposing the nurses perspective. 4. Encourage
, PEDS EXAM 1 (TESTBANK)
complementary beneficial cultural practices as primary
therapies.
The telephone triage nurse at a pedi- atric
clinic knows each call is important. Which
call would require extra attentive- ness
from the registered nurse because
of an increased risk of mortality? 1. A 3-week-old infant born at 35 weeks
1. A 3-week-old infant born at 35 weeks gestation with gastroenteritis gestation
with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper
respiratory infection
3. A post term 4-week-old infant 3. To advocate for the child by encour-
non-His- panic black descent with aging the family to investigate its CHIP
moderate eme- sis after feeding eligibility
4. A 1-week-old infant born at 40 4. To educate the family about the
weeks gestation with symptoms of need for keeping regular well-childvisit
colic Despite the availability of ap- pointments
Childrens Health Insurance Programs
(CHIP), many eligible children are not A supervisor is reviewing the documen-
enrolled. Which nursing intervention tation of the nurses in the unit. Which
would be the most appropriate to help client documentation is the most accu-
children be- come enrolled in CHIP? rate and contains all the required part
1. Assessment of the details of the for a narrative entry?
fam- ilys income and expenditures 1. 2/2/05 1630 Catheterized using an 8
2. Case management to limit costly, French catheter, 45 mL clear yellow
un- necessary duplication of services urine obtained, specimen sent to lab,