PERRY’S MATERNAL CHILD
NURSING CARE (PEDIATRIC
VARIATIONS OF NURSING
INTERVENTIONS) EXAM QUESTIONS
AND THEIR EXPECTED REVIEWED
SOLUTIONS
1. What should the nurse consider when having
consent forms signed for surgery and procedures on
children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18
years old.
c. The risks and benefits of a procedure are part of the
consent process.
d. A mental age of 7 years or older is required for a
consent to be considered "informed."
\
ANS: C
The informed consent must include the nature of the
procedure, benefits and risks, and alternatives to the
procedure. In special circumstances such as emancipated
minors, the consent can be given by someone younger
than 18 years without the parent or legal guardian. A
mental age of 7 years is too young for consent to be
informed.
,2. The nurse is planning how to best prepare a 4-year-
old child for some diagnostic procedures. What
guideline should the nurse consider when preparing a
preschooler for a diagnostic procedure?
a. Planning for a short teaching session of about 30
minutes.
b. Telling the child that procedures are never a form of
punishment.
c. Keeping equipment out of the child's view.
d. Using correct scientific and medical terminology in
explanations.
ANS: B
Illness and hospitalization may be viewed as punishment
in preschoolers. Always state directly that procedures are
never a form of punishment. Teaching sessions for this
age-group should be 10 to 15 minutes in length.
Demonstrate the use of equipment and allow the child to
play with miniature or actual equipment. Explain the
procedure and how it affects the child in simple terms.
3. The most appropriate nursing action to implement
when a preschooler being prepped for outpatient
surgery refused to allow the parent to remove his/her
underwear?
a. Allow the child to wear their underpants.
b. Discuss to the mother why this is important.
c. Ask the mother to explain to her child why he/she
must remove the underwear.
d. Explain in a kind, matter-of-fact manner that this is
hospital policy.
ANS: A
It is appropriate for the child to leave his/her underpants
, on. This allows his/her some measure of control during the
foot surgery. The mother should not be required to make
the child more upset. The child is too young to understand
what hospital policy means.
4. Using knowledge of child development, what is the
best approach when preparing a toddler for a
procedure?
a. Avoid asking the child to make choices.
b. Demonstrate the procedure on a doll.
c. Plan for the teaching session to last about 20
minutes.
d. Show necessary equipment without allowing child
to handle it.
ANS: B
Prepare toddlers for procedures by using play.
Demonstrate on a doll, but avoid the child's favorite doll
because the toddler may think the doll is really "feeling"
the procedure. In preparing a toddler for a procedure, the
child is allowed to participate in care and help whenever
possible. Teaching sessions for toddlers should be about
5 to 10 minutes. Use a small replica of the equipment and
allow the child to handle it.
5. The nurse is cleaning multiple facial abrasions on a
9-year-old who was brought to the emergency
department by his/her mother. When the child begins
crying and screaming loudly, what intervention should
the nurse implement to best manage this situation?
a. Calmly ask the child to be quieter.
b. Suggest that his/her mother help the child to relax.
c. Tell the child it is okay to cry and scream.
NURSING CARE (PEDIATRIC
VARIATIONS OF NURSING
INTERVENTIONS) EXAM QUESTIONS
AND THEIR EXPECTED REVIEWED
SOLUTIONS
1. What should the nurse consider when having
consent forms signed for surgery and procedures on
children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18
years old.
c. The risks and benefits of a procedure are part of the
consent process.
d. A mental age of 7 years or older is required for a
consent to be considered "informed."
\
ANS: C
The informed consent must include the nature of the
procedure, benefits and risks, and alternatives to the
procedure. In special circumstances such as emancipated
minors, the consent can be given by someone younger
than 18 years without the parent or legal guardian. A
mental age of 7 years is too young for consent to be
informed.
,2. The nurse is planning how to best prepare a 4-year-
old child for some diagnostic procedures. What
guideline should the nurse consider when preparing a
preschooler for a diagnostic procedure?
a. Planning for a short teaching session of about 30
minutes.
b. Telling the child that procedures are never a form of
punishment.
c. Keeping equipment out of the child's view.
d. Using correct scientific and medical terminology in
explanations.
ANS: B
Illness and hospitalization may be viewed as punishment
in preschoolers. Always state directly that procedures are
never a form of punishment. Teaching sessions for this
age-group should be 10 to 15 minutes in length.
Demonstrate the use of equipment and allow the child to
play with miniature or actual equipment. Explain the
procedure and how it affects the child in simple terms.
3. The most appropriate nursing action to implement
when a preschooler being prepped for outpatient
surgery refused to allow the parent to remove his/her
underwear?
a. Allow the child to wear their underpants.
b. Discuss to the mother why this is important.
c. Ask the mother to explain to her child why he/she
must remove the underwear.
d. Explain in a kind, matter-of-fact manner that this is
hospital policy.
ANS: A
It is appropriate for the child to leave his/her underpants
, on. This allows his/her some measure of control during the
foot surgery. The mother should not be required to make
the child more upset. The child is too young to understand
what hospital policy means.
4. Using knowledge of child development, what is the
best approach when preparing a toddler for a
procedure?
a. Avoid asking the child to make choices.
b. Demonstrate the procedure on a doll.
c. Plan for the teaching session to last about 20
minutes.
d. Show necessary equipment without allowing child
to handle it.
ANS: B
Prepare toddlers for procedures by using play.
Demonstrate on a doll, but avoid the child's favorite doll
because the toddler may think the doll is really "feeling"
the procedure. In preparing a toddler for a procedure, the
child is allowed to participate in care and help whenever
possible. Teaching sessions for toddlers should be about
5 to 10 minutes. Use a small replica of the equipment and
allow the child to handle it.
5. The nurse is cleaning multiple facial abrasions on a
9-year-old who was brought to the emergency
department by his/her mother. When the child begins
crying and screaming loudly, what intervention should
the nurse implement to best manage this situation?
a. Calmly ask the child to be quieter.
b. Suggest that his/her mother help the child to relax.
c. Tell the child it is okay to cry and scream.
