Exam with Questions and Answers
1. Dr. Abraham Jacobi focused attention on health problems in children and made a
major stride toward their welfare by initiating:
A. pediatric wards in hospitals.
B. free inoculations against smallpox.
C. milk stations in the city of New York.
D. serving nutritious foods in orphanages. - ANS: C
Dr. Abraham Jacobi, referred to as the father of pediatrics, initiated the establishment of
milk stations in New York showing how to sanitize milk for children.
REF: Page 942 TOP: Abraham Jacobi
2. Lillian Wald, a social reformer at the turn of the 20th century, founded the:
a. National Commission on Children.
B. Henry Street Settlement.
c. White House Conference.
D. U.S. Children's Bureau. - ANS: B
Lillian Wald, regarded as the founder of public health, founded Henry Street Settlement,
which provided nursing services and social assistance.
REF: Page 942
TOP: Lillian Wald
3. When the pediatric nurse is attempting to establish a trusting relationship with a child,
the most important and lasting thing to be done is to:
A. conveys respect.
B. talk with the child.
C. is honest.
D. talk with family. - ANS: C
To establish a trusting relationship, the most important thing is to be honest.
REF: Page 943 TOP: Pediatric nurse
4. The nurse recognizes that children who have congenital abnormalities, malignancies,
gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies are grouped
into a special category called:
A. very dependent children.
B. children requiring special education.
, C. children with special needs.
D. children requiring long-term care. - ANS: C
The definition of children with special needs includes congenital abnormalities,
malignancies, GI diseases, and CNS anomalies.
REF: Page 944 TOP: Children
5. The mother of a child with diabetes asks the nurse in charge of the family-centered
pediatric unit if she might see her child's laboratory reports. The nurse should reply:
a. "Although the actual reports are not shared, I can tell you her blood sugar is 200 mg."
b. "I'll write them down for you and bring them to your room."
c. "Come to the conference room where we can have privacy while you look at them."
d. "I'll notify the physician that you wish to see the reports." - ANS: C
With a family-centered care approach, hospitals welcome parents, and parents have
access to information 24 hours a day.
REF: Pages 944-945 TOP: Family-centered care
6. The pediatric nurse who uses the developmental approach in her practice will focus
on:
A. stimulation of the child to reach expected norms.
B. age-centered care plans.
C. strengths of the child.
D. characteristics for the particular age. - ANS: C
A developmental approach emphasizes the child's abilities and considers individuality.
REF: Page 946 TOP: Developmental approach
7. When using anticipatory guidance to prepare a 5-year-old for an IM injection, the
nurse should state:
a. "Ethan, I'm going to give you a shot."
b. "Ethan, the doctor wants you to have some medicine, and it will hurt."
c. "Ethan, some medicine can only is given with a needle."
d. "Ethan, I am going to give you some medicine that will sting, but only for a little
while." - ANS: D
Anticipatory guidance is the psychological preparation of a patient for a stressful event
by explaining what will happen and the probable outcome.
REF: Page 947 TOP: Anticipatory guidance
8. When measuring the head circumference of an infant, the nurse should place the
tape measure:
A. across the eyebrows and around the occipital lobe.
B. over the zygomatic arches and around the parietal areas.
C. around forehead and around the crown of the head.
D. above the eyebrows and pinna’s and around the occipital lobe. - ANS: D