PEDS NSG 325 QUESTIONS AND ANSWERS A+
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1) Which nursing role is not directly involved when providing family-centered
approach to the pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
Answer: 4
Researcher
2) A nurse is working with pediatric clients in a research facility. The nurse
recognizes that federal guidelines are in place that delineate which pediatrics
clients must give assent for participation in research trials. Based upon the
client's age, the nurse would seek assent from which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study
participant.
2. The 7-year-old leukemia client electing to receive a newly developed
medication, now being researched.
3. The 10-year-old commencing in an investigative study for clients with
precocious puberty.
4. The 13-year-old client commencing participation in a research program for
Attention Deficit
Answer: 2, 3, 4
The 7-year-old leukemia client electing to receive a newly developed medication, now
being researched.
3. The 10-year-old commencing in an investigative study for clients with precocious
puberty.
4. The 13-year-old client commencing participation in a research program for Attention
Deficit Hyperactivity Disorder (ADHD) treatments.
3) The nurse in a pediatric acute care unit is assigned the following tasks. Which
task is not appropriate for the nurse to complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy
surgical recovery.
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
Answer: 1
Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
4) A 7-year-old child is 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
the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
Answer: 2
2. Clinical pathways
5) The nurse recognizes that the pediatric client is from a cultural background
different 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.
3. Avoid inadvertently offending the family by imposing the nurse's perspective.
4. Encourage complementary beneficial cultural practices as primary therapies.
Answer: 2
Facilitate the family's ability to comply with the care needed.
6) The telephone triage nurse at a pediatric clinic knows each call is important.
Which call would require attentiveness from the nurse because of an increased
risk of mortality?
1. A 3-week-old infant born at 35 weeks' gestation with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper respiratory
infection
3. A postterm 4-week-old infant non-Hispanic black descent with moderate
emesis after feeding
4. A 1-week-old infant born at 40 weeks' gestation with symptoms of colic
Answer: 1
A 3-week-old infant born at 35 weeks' gestation with gastroenteritis
7) Despite the availability of Children's Health Insurance Programs (CHIP), many
eligible children are not enrolled. Which nursing intervention would be the most
appropriate to help children become enrolled in CHIP?
1. Assess details of the family's income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. Advocate for the child by encouraging the family to investigate SCHIP eligibility
4. Educate the family about the need for keeping regular well-child-visit
appointments
Answer: 3
Advocate for the child by encouraging the family to investigate SCHIP eligibility
8) A supervisor is reviewing documentation of the nurses in the unit. Which client
documentation is the most accurate and contains all the required part for a
narrative entry?
1. "2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine
obtained, specimen sent to lab, squirmed and cried softly during insertion of
catheter. Quiet in mother's arms following catheter removal. M. May RN"
2. "1/9/05 2 pm nasogastric tube placement confirmed and irrigated with 30 ml
sterile water. Suction set at low, intermittent. Oxygen via nasal canal at 2 L/min.
,Nares patent, pink, and nonirritated. K. Earnst RN"
3. "4:00 tracheostomy dressing removed with dime-size stain of dry serous
exudate. Site cleansed with normal saline. Dried with sterile gauze. New sterile
tracheostomy sponge and trach ties applied. Respirations regular and even
throughout the procedure. F. Luck RN"
4. "Feb. '05 Port-A-Cath assessed with Hu
Answer: 1
"2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine
obtained, specimen sent to lab, squirmed and cried softly during insertion of catheter.
Quiet in mother's arms following catheter removal. M. May RN"
9) A 12-year-old pediatric client is in need of surgery. Which member of the
healthcare team is legally responsible for obtaining informed consent for an
invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker
Answer: 2
Physician
10) A child is being prepared for an invasive procedure. The mother of the child
has legal custody but is not present. After details of the procedure are explained,
who can provide legal consent on behalf of a minor child for treatment?
1. The divorced parent without custody
2. A cohabitating boyfriend of the child's mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy
Answer: 4
A babysitter with written proxy
11) A 12-year-old child is admitted to the unit for a surgical procedure. The child
is accompanied by two parents and a younger sibling. What is the level of
involvement in treatment decision making for this child?
1. Emancipated minor
2. Mature minor
3. Assent
4. None
Answer: 3
Assent
12) Which nursing intervention is most appropriate when providing education to
the pediatric client and family?
1. Giving primary care for high-risk children who are in hospital settings
2. Giving primary care for healthy children
3. Working toward the goal of informed choices with the family
4. Obtaining a physician consultation for any technical procedures at delivery
Answer: 3
. Working toward the goal of informed choices with the family
, 13) What is the pediatric nurse's best defense against an accusation of
malpractice or negligence?
1. Following the physician's written orders
2. Meeting the scope and standards of practice for pediatric nursing
3. Being a nurse practitioner or clinical nurse specialist
4. Acting on the advice of the nurse manager
Answer: 2
Meeting the scope and standards of practice for pediatric nursing
14) Which legal or ethical offense would be committed if a nurse tells family
members the condition of a newborn baby without first consulting the parents?
1. A breach of privacy
2. Negligence
3. Malpractice
4. A breach of ethics
Answer: 1
A breach of privacy
15) Pediatric nurses have foundational knowledge obtained in nursing school and
add specific competencies related to the pediatric client. Which would be
considered an additional specific expected competency of the pediatric nurse?
1. Physical assessment
2. Anatomical and developmental differences
3. Nursing process
4. Management of healthcare conditions
Answer: 2
Anatomical and developmental differences
16) Which of the following are components of family-centered care? Select all that
apply.
1. Recognizing and building on family strengths
2. Meeting the emotional, social, and developmental needs of the child and family
3. Respect all parenting practices
4. Support all cultural practices
5. Encourage parent-to-parent support
Answer: 1, 2, 5
1. Recognizing and building on family strengths
2. Meeting the emotional, social, and developmental needs of the child and family
5. Encourage parent-to-parent support
17) A three-week-old infant is returned post-pyloromyotomy three hours ago. The
father is refusing pain medication for the infant and states, "The baby is hungry.
Can I give the baby a bottle?" How should the nurse best advocate for the infant?
Select all that apply.
1. Call the physician to ask if the child can feed yet.
2. The FLACC scale rating is 8 out of 10; try swaddling and rocking the infant.
3. Ask the parent to obtain a FLACC scale rating and let the nurse know what
rating they get.
4. Educate the parent about the surgery and why the infant should not have
anything by mouth.
GRADED. Buy Quality Materials!
1) Which nursing role is not directly involved when providing family-centered
approach to the pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher
Answer: 4
Researcher
2) A nurse is working with pediatric clients in a research facility. The nurse
recognizes that federal guidelines are in place that delineate which pediatrics
clients must give assent for participation in research trials. Based upon the
client's age, the nurse would seek assent from which children?
Select all that apply.
1. The precocious 4-year-old commencing as a cystic fibrosis research-study
participant.
2. The 7-year-old leukemia client electing to receive a newly developed
medication, now being researched.
3. The 10-year-old commencing in an investigative study for clients with
precocious puberty.
4. The 13-year-old client commencing participation in a research program for
Attention Deficit
Answer: 2, 3, 4
The 7-year-old leukemia client electing to receive a newly developed medication, now
being researched.
3. The 10-year-old commencing in an investigative study for clients with precocious
puberty.
4. The 13-year-old client commencing participation in a research program for Attention
Deficit Hyperactivity Disorder (ADHD) treatments.
3) The nurse in a pediatric acute care unit is assigned the following tasks. Which
task is not appropriate for the nurse to complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy
surgical recovery.
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
Answer: 1
Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
4) A 7-year-old child is 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
the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines
Answer: 2
2. Clinical pathways
5) The nurse recognizes that the pediatric client is from a cultural background
different 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.
3. Avoid inadvertently offending the family by imposing the nurse's perspective.
4. Encourage complementary beneficial cultural practices as primary therapies.
Answer: 2
Facilitate the family's ability to comply with the care needed.
6) The telephone triage nurse at a pediatric clinic knows each call is important.
Which call would require attentiveness from the nurse because of an increased
risk of mortality?
1. A 3-week-old infant born at 35 weeks' gestation with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper respiratory
infection
3. A postterm 4-week-old infant non-Hispanic black descent with moderate
emesis after feeding
4. A 1-week-old infant born at 40 weeks' gestation with symptoms of colic
Answer: 1
A 3-week-old infant born at 35 weeks' gestation with gastroenteritis
7) Despite the availability of Children's Health Insurance Programs (CHIP), many
eligible children are not enrolled. Which nursing intervention would be the most
appropriate to help children become enrolled in CHIP?
1. Assess details of the family's income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. Advocate for the child by encouraging the family to investigate SCHIP eligibility
4. Educate the family about the need for keeping regular well-child-visit
appointments
Answer: 3
Advocate for the child by encouraging the family to investigate SCHIP eligibility
8) A supervisor is reviewing documentation of the nurses in the unit. Which client
documentation is the most accurate and contains all the required part for a
narrative entry?
1. "2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine
obtained, specimen sent to lab, squirmed and cried softly during insertion of
catheter. Quiet in mother's arms following catheter removal. M. May RN"
2. "1/9/05 2 pm nasogastric tube placement confirmed and irrigated with 30 ml
sterile water. Suction set at low, intermittent. Oxygen via nasal canal at 2 L/min.
,Nares patent, pink, and nonirritated. K. Earnst RN"
3. "4:00 tracheostomy dressing removed with dime-size stain of dry serous
exudate. Site cleansed with normal saline. Dried with sterile gauze. New sterile
tracheostomy sponge and trach ties applied. Respirations regular and even
throughout the procedure. F. Luck RN"
4. "Feb. '05 Port-A-Cath assessed with Hu
Answer: 1
"2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine
obtained, specimen sent to lab, squirmed and cried softly during insertion of catheter.
Quiet in mother's arms following catheter removal. M. May RN"
9) A 12-year-old pediatric client is in need of surgery. Which member of the
healthcare team is legally responsible for obtaining informed consent for an
invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker
Answer: 2
Physician
10) A child is being prepared for an invasive procedure. The mother of the child
has legal custody but is not present. After details of the procedure are explained,
who can provide legal consent on behalf of a minor child for treatment?
1. The divorced parent without custody
2. A cohabitating boyfriend of the child's mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy
Answer: 4
A babysitter with written proxy
11) A 12-year-old child is admitted to the unit for a surgical procedure. The child
is accompanied by two parents and a younger sibling. What is the level of
involvement in treatment decision making for this child?
1. Emancipated minor
2. Mature minor
3. Assent
4. None
Answer: 3
Assent
12) Which nursing intervention is most appropriate when providing education to
the pediatric client and family?
1. Giving primary care for high-risk children who are in hospital settings
2. Giving primary care for healthy children
3. Working toward the goal of informed choices with the family
4. Obtaining a physician consultation for any technical procedures at delivery
Answer: 3
. Working toward the goal of informed choices with the family
, 13) What is the pediatric nurse's best defense against an accusation of
malpractice or negligence?
1. Following the physician's written orders
2. Meeting the scope and standards of practice for pediatric nursing
3. Being a nurse practitioner or clinical nurse specialist
4. Acting on the advice of the nurse manager
Answer: 2
Meeting the scope and standards of practice for pediatric nursing
14) Which legal or ethical offense would be committed if a nurse tells family
members the condition of a newborn baby without first consulting the parents?
1. A breach of privacy
2. Negligence
3. Malpractice
4. A breach of ethics
Answer: 1
A breach of privacy
15) Pediatric nurses have foundational knowledge obtained in nursing school and
add specific competencies related to the pediatric client. Which would be
considered an additional specific expected competency of the pediatric nurse?
1. Physical assessment
2. Anatomical and developmental differences
3. Nursing process
4. Management of healthcare conditions
Answer: 2
Anatomical and developmental differences
16) Which of the following are components of family-centered care? Select all that
apply.
1. Recognizing and building on family strengths
2. Meeting the emotional, social, and developmental needs of the child and family
3. Respect all parenting practices
4. Support all cultural practices
5. Encourage parent-to-parent support
Answer: 1, 2, 5
1. Recognizing and building on family strengths
2. Meeting the emotional, social, and developmental needs of the child and family
5. Encourage parent-to-parent support
17) A three-week-old infant is returned post-pyloromyotomy three hours ago. The
father is refusing pain medication for the infant and states, "The baby is hungry.
Can I give the baby a bottle?" How should the nurse best advocate for the infant?
Select all that apply.
1. Call the physician to ask if the child can feed yet.
2. The FLACC scale rating is 8 out of 10; try swaddling and rocking the infant.
3. Ask the parent to obtain a FLACC scale rating and let the nurse know what
rating they get.
4. Educate the parent about the surgery and why the infant should not have
anything by mouth.
