NURS 328-PERCPERCTIVE OF PEDIATRIC NURSING
EXAM QUESTIONS WITH COMPLETE SOLUTIONS
What is the major cause of death for children older than 1 year in the United States?
a. Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The leading
cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart disease cause
a significantly lower percentage of deaths in children older than 1 year of age.
In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
c. Drowning and cancer
d. Homicide and heart disease
ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of
deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for 10.9%
of the deaths in this age group.
The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should
the nurse include in the session with regard to deaths caused by injuries?
,NURS 328-PERCPERCTIVE OF PEDIATRIC NURSING
EXAM QUESTIONS WITH COMPLETE SOLUTIONS
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups.
ANS: A
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly among
different ethnic groups, and the causes of unintentional deaths vary with age and gender.
What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community
ANS: B
Mortality statistics refer to the number of individuals who have died over a specific period.
Morbidity statistics show the prevalence of specific illness in the population at a particular time. Data regarding
disease within a geographic region, or in greater than expected numbers in a community, may be extrapolated from
analyzing the morbidity statistics.
The nurse should assess which age group for suicide ideation since suicide in which age group is the third
leading cause of death?
,NURS 328-PERCPERCTIVE OF PEDIATRIC NURSING
EXAM QUESTIONS WITH COMPLETE SOLUTIONS
a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents
ANS: D
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age group should be
late school age and adolescents. Suicide is not one of the leading causes of death for preschool and young or
middle school-aged children.
Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” Thenurse should
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of the decision-making process.
ANS: C
The three key components of family-centered care are respect, collaboration, and support. Family-centered care
recognizes the family as the constant in the child’s life. The family should be enabled and empowered to work
with the health care system and is expected to be part of the decision-making process. The nurse should also
support the family’s cultural diversity, not reduce its effect.
The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of
clinical reasoning?
, NURS 328-PERCPERCTIVE OF PEDIATRIC NURSING
EXAM QUESTIONS WITH COMPLETE SOLUTIONS
a. Purposeful and goal directed
b. A simple developmental process
c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate
ANS: A
Clinical reasoning is a complex developmental process based on rational and deliberate thought. When thinking is
clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between the elements of thought
Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning what is
the best approach. EBP involves decision making based on data, not all evidence on a particular situation, and
involves the latest available data. Nurses can use textbooks to determine areas of concern and potential involvement.
Which best describes signs and symptoms as part of a nursing diagnosis?
a. Description of potential risk factors
EXAM QUESTIONS WITH COMPLETE SOLUTIONS
What is the major cause of death for children older than 1 year in the United States?
a. Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The leading
cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart disease cause
a significantly lower percentage of deaths in children older than 1 year of age.
In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
c. Drowning and cancer
d. Homicide and heart disease
ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of
deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for 10.9%
of the deaths in this age group.
The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should
the nurse include in the session with regard to deaths caused by injuries?
,NURS 328-PERCPERCTIVE OF PEDIATRIC NURSING
EXAM QUESTIONS WITH COMPLETE SOLUTIONS
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups.
ANS: A
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly among
different ethnic groups, and the causes of unintentional deaths vary with age and gender.
What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community
ANS: B
Mortality statistics refer to the number of individuals who have died over a specific period.
Morbidity statistics show the prevalence of specific illness in the population at a particular time. Data regarding
disease within a geographic region, or in greater than expected numbers in a community, may be extrapolated from
analyzing the morbidity statistics.
The nurse should assess which age group for suicide ideation since suicide in which age group is the third
leading cause of death?
,NURS 328-PERCPERCTIVE OF PEDIATRIC NURSING
EXAM QUESTIONS WITH COMPLETE SOLUTIONS
a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents
ANS: D
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age group should be
late school age and adolescents. Suicide is not one of the leading causes of death for preschool and young or
middle school-aged children.
Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” Thenurse should
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of the decision-making process.
ANS: C
The three key components of family-centered care are respect, collaboration, and support. Family-centered care
recognizes the family as the constant in the child’s life. The family should be enabled and empowered to work
with the health care system and is expected to be part of the decision-making process. The nurse should also
support the family’s cultural diversity, not reduce its effect.
The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of
clinical reasoning?
, NURS 328-PERCPERCTIVE OF PEDIATRIC NURSING
EXAM QUESTIONS WITH COMPLETE SOLUTIONS
a. Purposeful and goal directed
b. A simple developmental process
c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate
ANS: A
Clinical reasoning is a complex developmental process based on rational and deliberate thought. When thinking is
clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between the elements of thought
Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning what is
the best approach. EBP involves decision making based on data, not all evidence on a particular situation, and
involves the latest available data. Nurses can use textbooks to determine areas of concern and potential involvement.
Which best describes signs and symptoms as part of a nursing diagnosis?
a. Description of potential risk factors
