Pediatric Nursing Process Exam Questions
with Answers
Health Promotion Goal - Correct Answer Improve the quality of health for children and
their parents
Focus on areas of concern, prevention during stages of development (nutrition)
Increased immunization rates (provide info/data benefits of vaccine)
Breast milk = medication (2 nurse check)
Healthy People 2020 - Correct Answer Promoting development
Nutrition
Oral health
Injury Risk Factors - Correct Answer Males = increased risk for injuries
Difficult temperaments = increased risk for injuries
Pharm Parties
Hex of previous injury = increase in risk factors
Developmental
- large head (first to hit ground)
- large spleen and liver (not protected by ribs)
- small and light body (propels them during falls)
Poverty and Family stress
- higher risk for injuries
Injection Sites - Correct Answer Vast us Laterals (site of choice) (birth to 15 years)
Ventrogluteal (3 to 15 years)
Deltoid (6 to 15 years)
Vast us Laterals - Correct Answer Birth to 1.5 years: 0.5ml
1.5-3 years: 1ml
3-6 years: 1.5ml
6-15 years: 2ml
Ventrogluteal - Correct Answer 3-6 years: 1.5ml
6-15 years: 2ml
Deltoid - Correct Answer 6-15 years 0.5ml
Traumatic Care - Correct Answer Goal: do not harm
minimize the child's separation from family
, promote a sense of control (don't ask them if they want to take the medicine; instead
ask them what snack/sticker they would like after they take their medications)
prevent or minimize bodily injury and pain (reword interventions; advocate for pain
meds)
Family Centered Care - Correct Answer core of pediatric nursing
care of child means caring for family
plan of care inclusive of the family
enable and empower the family
traumatic care
foster the parent-child relationship during hospitalization
prepare child and family for procedures
control child's pain
Getting to know you - Correct Answer establishing a setting for communication
introduce self and ask for family members names
- don't say mom or dad when addressing parents; use their names
-establish trust
include the child in the interaction when appropriate
-focus communications around the child, if they can answer then let them
assure privacy and confidentiality
Communication with Family - Correct Answer use child's name when asking parents
questions
- assess what the parents know about their child
- use silence and open ended questions
Cultural awareness
interview w/o judgment
be empathic
- empathy vs. sympathy
provide anticipatory guidance
avoid information overload
- cues: long periods of silence, wide eyes, fidgeting, staring, changing the conversation
use an interpreter when needed
Communication with children - Correct Answer allow time for child to become familiar
avoid sudden or rapid advances
assume a position at eye level of child
speak in a quiet/confident voice
offer choices only when one exists
be honest for reasons and why
let them express fears
variety of communication techniques
give older children opportunity to talk w/o parent present
Early Childhood - Correct Answer egocentric
with Answers
Health Promotion Goal - Correct Answer Improve the quality of health for children and
their parents
Focus on areas of concern, prevention during stages of development (nutrition)
Increased immunization rates (provide info/data benefits of vaccine)
Breast milk = medication (2 nurse check)
Healthy People 2020 - Correct Answer Promoting development
Nutrition
Oral health
Injury Risk Factors - Correct Answer Males = increased risk for injuries
Difficult temperaments = increased risk for injuries
Pharm Parties
Hex of previous injury = increase in risk factors
Developmental
- large head (first to hit ground)
- large spleen and liver (not protected by ribs)
- small and light body (propels them during falls)
Poverty and Family stress
- higher risk for injuries
Injection Sites - Correct Answer Vast us Laterals (site of choice) (birth to 15 years)
Ventrogluteal (3 to 15 years)
Deltoid (6 to 15 years)
Vast us Laterals - Correct Answer Birth to 1.5 years: 0.5ml
1.5-3 years: 1ml
3-6 years: 1.5ml
6-15 years: 2ml
Ventrogluteal - Correct Answer 3-6 years: 1.5ml
6-15 years: 2ml
Deltoid - Correct Answer 6-15 years 0.5ml
Traumatic Care - Correct Answer Goal: do not harm
minimize the child's separation from family
, promote a sense of control (don't ask them if they want to take the medicine; instead
ask them what snack/sticker they would like after they take their medications)
prevent or minimize bodily injury and pain (reword interventions; advocate for pain
meds)
Family Centered Care - Correct Answer core of pediatric nursing
care of child means caring for family
plan of care inclusive of the family
enable and empower the family
traumatic care
foster the parent-child relationship during hospitalization
prepare child and family for procedures
control child's pain
Getting to know you - Correct Answer establishing a setting for communication
introduce self and ask for family members names
- don't say mom or dad when addressing parents; use their names
-establish trust
include the child in the interaction when appropriate
-focus communications around the child, if they can answer then let them
assure privacy and confidentiality
Communication with Family - Correct Answer use child's name when asking parents
questions
- assess what the parents know about their child
- use silence and open ended questions
Cultural awareness
interview w/o judgment
be empathic
- empathy vs. sympathy
provide anticipatory guidance
avoid information overload
- cues: long periods of silence, wide eyes, fidgeting, staring, changing the conversation
use an interpreter when needed
Communication with children - Correct Answer allow time for child to become familiar
avoid sudden or rapid advances
assume a position at eye level of child
speak in a quiet/confident voice
offer choices only when one exists
be honest for reasons and why
let them express fears
variety of communication techniques
give older children opportunity to talk w/o parent present
Early Childhood - Correct Answer egocentric
