Pediatric Exam 2 With Answers

Pediatric Exam 2 With Answers The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to: 1. Diagnose a six-year-old with diversional activity deficit related to placement in isolation. 2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery. 3. Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic. 4. Provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options. - Answer- 3 Despite the availability of Children's Health Insurance Programs (CHIP), many eligible children are not enrolled. The nursing intervention that can best help eligible children to become enrolled is: 1. Educating the family about the need for keeping regular well-child visit appointments. 2. Assessing details of the family's income and expenditures. 3. Limiting costly, unnecessary duplication of services through case management. 4. Advocating for the child by encouraging the family to investigate CHIP eligibility. - Answer- 4 A nurse is examining different nursing roles. Which best illustrates an advanced practice nursing role? 1. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk children 2. A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit 3. A registered nurse who is the circulating nurse in surgery 4. A registered nurse who is the manager of a large pediatric unit - Answer- 1 The role of the registered nurse as a nurse educator is to: 1. Provide primary care for healthy children. 2. Assist the family in making informed decisions by providing information about the pros and cons of the treatment plan. 3. Assist the primary care nurse with procedures requiring advanced practice skills. 4. Communicate with the hospitalized school-aged child's classroom teacher to assist the child in achieving classroom goals. - Answer- 2 A 7-year-old child has been 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 timing of key events? 1. Healthy People 2020 2. National clinical practice guidelines 3. Child mortality statistics 4. Critical clinical pathways - Answer- 4 The telephone triage nurse at a pediatric clinic knows that each call is important. However, recognizing that infant deaths are most frequent in this group, the nurse must be extra attentive during the call from the parent of an infant who is: 1. Between six and eight months old. 2. Of a Native American family. 3. Of a non-Hispanic black family. 4. Younger than three weeks old. - Answer- 4 When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is: 1. Unintentional injury." 2. Infectious disease." 3. Congenital anomalies." 4. Cancer." - Answer- 1 With regard to child mortality statistics, which nursing intervention would be most effective in decreasing mortality from unintentional injury? 1. Teaching children about dangers of contact sports 2. Encouraging parents to obtain genetic counseling 3. Educating parents about the benefits of immunizations 4. Teaching parents about proper use of vehicle restraint seats - Answer- 4 With regard to infant mortality statistics, which nursing intervention would be most effective in decreasing post-neonatal mortality? 1. Teaching parents about "baby-proofing" their home 2. Educating parents on acceptable feeding techniques 3. Providing support for first-time mothers 4. Educating parents on the importance of positioning the baby on his back whenever sleeping - Answer- 4 Despite the availability of the Children's Health Insurance Program (CHIP), families often fail to obtain coverage for eligible children because: 1. They do not see the importance of insurance coverage. 2. Families do not have adequate time to complete the enrollment process. 3. They do not know their child is eligible. 4. Parents do not value medical interventions for their children. - Answer- 3 A 12-year-old pediatric client is in need of surgery. The health care member who is legally responsible for obtaining informed consent for an invasive procedure is the: 1. Nurse. 2. Social worker. 3. Unit secretary. 4. Physician. - Answer- 4