Peds Exam 1 (testbank) |149 Questions with
Answers
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 - -4. Researcher
-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 clients age, the nurse would seek assent
from which children? Select all that apply.
1. The precocious 4-year-old starting 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 starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD
treatments. - -2. The 7-year-old leukemia client electing to receive a newly developed
medication, now being researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD
treatments.
-The nurse in a pediatric acute-care unit is assigned the following tasks. Which task is not
appropriate for the registered to nurse 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. -
-1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
-A 7-year-old child is admitted for acute appendicitis. The parents are questioning the
nurse about expectations during the childs recovery. Which information tool would be
most useful in answering a parents questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines - -2. Clinical pathways
, -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 nurses perspective.
4. Encourage complementary beneficial cultural practices as primary therapies. - -2.
Facilitate the family's ability to comply with the care needed.
-The telephone triage nurse at a pediatric clinic knows each call is important. Which call
would require extra attentiveness from the registered 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 post term 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 - -1. A 3-week-
old infant born at 35 weeks gestation with gastroenteritis
-Despite the availability of Childrens 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. Assessment of the details of the familys income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. To advocate for the child by encouraging the family to investigate its CHIP eligibility
4. To educate the family about the need for keeping regular well-childvisit appointments - -
3. To advocate for the child by encouraging the family to investigate its CHIP eligibility
-A supervisor is reviewing the 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 mothers arms following catheter removal. M. May RN
2. 1/9/05 2 pm NG 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 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed
with normal saline. Dried with sterile gauze. New sterile trach sponge and trach ties
applied. Respirations regular and even throughout the procedure. F. Luck RN
4. Feb. 05 Port-A-Cath assessed with Huber needle. Blood return presen - -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 mothers arms
following catheter removal. M. May RN
, -A 12-year-old pediatric client is in need of surgery. Which member of the health care team
is legally responsible for obtaining informed consent for an invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker - -2. Physician
-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 unmarried boyfriend of the childs mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy consent - -4. A babysitter with written proxy consent
-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. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None. - -3. That of assent.
-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 - -3. Working
toward the goal of informed choices with the family
-What is the pediatric nurses best defense against an accusation of malpractice or
negligence?
1. Following the physicians 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 - -2. Meeting the scope and standards of
practice for pediatric nursing
-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 - -1. A breach of privacy
, -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 - -2. Anatomical and developmental differences
-The nurse is planning care for an adolescent client who will be hospitalized for several
weeks following a traumatic brain injury. Which interventions will enhance family-
centered care for this client and family? Select all that apply.
1. Making all ADL decisions for the adolescent and family
2. Asking the adolescent what foods to include during meal time
3. Allowing the family time to pray each day with the adolescent
4. Encouraging the adolescents friends to visit during visiting hours
5. Leaving all questions for the healthcare provider - -2. Asking the adolescent what foods
to include during meal time
3. Allowing the family time to pray each day with the adolescent
4. Encouraging the adolescents friends to visit during visiting hours
-A new pediatric hospital will open soon. While planning nursing care, the hospital
administration is considering two models of providing health care: family-focused care and
family-centered care. Which action best implements family-centered care?
1. Telling the family what must be done for the familys health
2. Assuming the role of an expert professional to direct the health care
3. Intervening for the child and family as a unit
4. Conferring with the family in deciding which healthcare option will be chosen - -4.
Conferring with the family in deciding which healthcare option will be chosen
-A school-age client tells you that Grandpa, Mommy, Daddy, and my brother live at my
house. Which type of family will the nurse identify in the medical record based on this
description?
1. Binuclear family
2. Extended family
3. Gay or lesbian family
4. Traditional nuclear family - -2. Extended family
-The nurse is performing an assessment of a childs biologic family history. Which situation
would necessitate the nurses asking the mother for information should use the term childs
father instead of your husband?
1. Traditional nuclear family
2. Traditional extended family
3. Two-income nuclear family
4. Cohabitating informal stepfamily - -4. Cohabitating informal stepfamily
Answers
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 - -4. Researcher
-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 clients age, the nurse would seek assent
from which children? Select all that apply.
1. The precocious 4-year-old starting 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 starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD
treatments. - -2. The 7-year-old leukemia client electing to receive a newly developed
medication, now being researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD
treatments.
-The nurse in a pediatric acute-care unit is assigned the following tasks. Which task is not
appropriate for the registered to nurse 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. -
-1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
-A 7-year-old child is admitted for acute appendicitis. The parents are questioning the
nurse about expectations during the childs recovery. Which information tool would be
most useful in answering a parents questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines - -2. Clinical pathways
, -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 nurses perspective.
4. Encourage complementary beneficial cultural practices as primary therapies. - -2.
Facilitate the family's ability to comply with the care needed.
-The telephone triage nurse at a pediatric clinic knows each call is important. Which call
would require extra attentiveness from the registered 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 post term 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 - -1. A 3-week-
old infant born at 35 weeks gestation with gastroenteritis
-Despite the availability of Childrens 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. Assessment of the details of the familys income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. To advocate for the child by encouraging the family to investigate its CHIP eligibility
4. To educate the family about the need for keeping regular well-childvisit appointments - -
3. To advocate for the child by encouraging the family to investigate its CHIP eligibility
-A supervisor is reviewing the 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 mothers arms following catheter removal. M. May RN
2. 1/9/05 2 pm NG 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 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed
with normal saline. Dried with sterile gauze. New sterile trach sponge and trach ties
applied. Respirations regular and even throughout the procedure. F. Luck RN
4. Feb. 05 Port-A-Cath assessed with Huber needle. Blood return presen - -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 mothers arms
following catheter removal. M. May RN
, -A 12-year-old pediatric client is in need of surgery. Which member of the health care team
is legally responsible for obtaining informed consent for an invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker - -2. Physician
-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 unmarried boyfriend of the childs mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy consent - -4. A babysitter with written proxy consent
-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. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None. - -3. That of assent.
-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 - -3. Working
toward the goal of informed choices with the family
-What is the pediatric nurses best defense against an accusation of malpractice or
negligence?
1. Following the physicians 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 - -2. Meeting the scope and standards of
practice for pediatric nursing
-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 - -1. A breach of privacy
, -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 - -2. Anatomical and developmental differences
-The nurse is planning care for an adolescent client who will be hospitalized for several
weeks following a traumatic brain injury. Which interventions will enhance family-
centered care for this client and family? Select all that apply.
1. Making all ADL decisions for the adolescent and family
2. Asking the adolescent what foods to include during meal time
3. Allowing the family time to pray each day with the adolescent
4. Encouraging the adolescents friends to visit during visiting hours
5. Leaving all questions for the healthcare provider - -2. Asking the adolescent what foods
to include during meal time
3. Allowing the family time to pray each day with the adolescent
4. Encouraging the adolescents friends to visit during visiting hours
-A new pediatric hospital will open soon. While planning nursing care, the hospital
administration is considering two models of providing health care: family-focused care and
family-centered care. Which action best implements family-centered care?
1. Telling the family what must be done for the familys health
2. Assuming the role of an expert professional to direct the health care
3. Intervening for the child and family as a unit
4. Conferring with the family in deciding which healthcare option will be chosen - -4.
Conferring with the family in deciding which healthcare option will be chosen
-A school-age client tells you that Grandpa, Mommy, Daddy, and my brother live at my
house. Which type of family will the nurse identify in the medical record based on this
description?
1. Binuclear family
2. Extended family
3. Gay or lesbian family
4. Traditional nuclear family - -2. Extended family
-The nurse is performing an assessment of a childs biologic family history. Which situation
would necessitate the nurses asking the mother for information should use the term childs
father instead of your husband?
1. Traditional nuclear family
2. Traditional extended family
3. Two-income nuclear family
4. Cohabitating informal stepfamily - -4. Cohabitating informal stepfamily
