Pediatrics Prep U exam 1 Questions and Answers
The nurse is running an education program for early grade-school children. Which topic
would address the number one cause of death for this age group? - -The importance of
crossing streets safely
-Pediatric nurses are developing more home care and community-based services for
children with chronic illnesses because: - -increasing numbers of children live with chronic
disabilities due to advances in health care that allow children with formerly fatal diseases
to survive.
-The nurse providing care to the fifth-grade child and his family reviews the nursing care
plan, noting that teaching about pubertal changes is one of the individualized interventions.
The nurse chooses not to address this. How should the nurse's action be evaluated? - -This
nurse has not met the standard of care that constitutes adequate nursing practice identified
in Pediatric Nursing: Scope of Standards and Practice.
-Which nursing activity requires the pediatric nurse to implement the ethical principle of
nonmaleficence? - -Weighing the potential harm caused by a child's chemotherapy with its
potential benefits
-The nurse is working in a pediatric facility whose mission statement strongly emphasizes
providing family-centered care. What nursing intervention best exemplifies this facility's
belief? - -The nurse plans a meeting with the parents, child, and case worker to discuss
care alternatives for the child
-The nurse is providing care to a 6-year-old child following surgery. The nurse asks the
child to rate the pain using the Faces of Pain scale. Which phase of the nursing process is
the nurse demonstrating? - -Assessment
-What was the primary goal for the establishment of the Children's Bureau? - -To improve
the standards of health care
-The nurse is caring for a 16-year-old female who has been brought to the clinic by her
mother seeking information about contraceptives. What action by the nurse will best
promote the client's autonomy? - -After a review of suitable contraceptive options, ask the
client which is of the greatest interest.
-A 17-year-old has been diagnosed with HIV. When developing the plan of care, which
initial action should be included? - -Notify the local health department of the individual's
HIV status.
-A nurse is preparing a presentation for a local parent group. The group consists of parents
with children younger than 4 years of age. As part of the presentation, the nurse plans to
,include teaching about preventing deaths in this age group. The nurse would most likely
focus on prevention activities primarily related to which area? - -Unintentional injuries
-The parent of an 11-year-old girl with an inoperable brain tumor confides to the nurse
that her daughter's physician is "pushing them" to convince their daughter to participate in
a controversial treatment that has a high risk for side effects. She further states that she
told him twice that they were not interested. What would be the nurse's best response to
this situation? - -Meet with the physician and disclose the concerns of the family; refer the
case to the institutional ethics committee if not resolved.
-A nurse is caring for a child. Which individual would the nurse identify as being primarily
responsible for initiating and coordinating health care? - -Parents
-The client is a 1-year-old girl from a low-income family presenting with a vitamin D
deficiency and anemia. What assistance program would you recommend to the child's
young mother? - -WIC
-Consent for urgent treatment is needed for a minor. The parents are unable to be at the
hospital. What action by the nurse constitutes informed consent? - -Telephone consent
with two witnesses listening simultaneously
-The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is
present. What would prevent informed consent from being obtained? - -Learning the
mother is not the custodial parent
-The nurse provides soy milk and fresh vegetables to a pregnant woman who is single, and
the mother of a toddler. Which federal program is the nurse implementing? - -WIC Food
Package Revised
-The nurse is caring for a 12-year-old child with a depressive disorder. When providing
teaching about the disorder and the importance of treatment to the child's parents, the
nurse accurately includes which teaching points? Select all that apply. - -"We need to
monitor your child's academic performance since this is often affected."
"It's important to be aware that having a depressive disorder as a child increases the
chance of mental health issues as an adult."
"Substance use disorder is common during the adolescent years if mental health issues are
present during childhood."
-A student nurse shares an interest in pediatric nursing. When discussing her thoughts
about pediatric nursing, which statements are consistent with the philosophies of pediatric
nursing care? Select all that apply. - -"The child should be included as much as possible in
the plan of care."
"I believe the family should be included in all aspects of the plan of care and treatment."
"Since health care can be scary for a child, it's important to make them feel secure."
, -A nurse is reviewing the medical record of a 3-year-old child who is brought to the clinic
for an evaluation. The nurse notes that the child is participating in a community Early Head
Start program. The nurse understands that this program focuses on which aspect? - -Child
development
-A nurse is providing care to a child and family recently admitted to the hospital. The nurse
would anticipate the need to obtain specialized informed consent in which situation? Select
all that apply. - --Before a bone marrow aspiration
-Prior to radiation therapy
-Before photographing the child
-The student nurse views a boy from a large extended family as poor because his father is
unemployed. Considering his family structure, in what way might he view the student
nurse as "poor"? - -You are unmarried and live alone.
-When a woman is admitted to the labor-and-delivery unit, her husband says he is going to
work and asks you to call when the baby is born. Your best response to this husband would
be to - -ask him if he knows that he can stay with his wife during labor.
-When caring for a woman in her sixth month of pregnancy, the client reports her plans to
nurse her baby for at least 2 to 3 years like the rest of the women in her family. Based upon
the nurse's knowledge, the nurse should: - -document her report but do nothing as this is a
cultural belief that should be respected.
-A client family recently moved to the United States. They live with their relatives, who
were already residing in the United States. This is an example of which family form? - -
Extended
-The nurse is caring for a Native American child. Which approach would be most
consistent with the culture? - -Discussing treatment as reestablishing harmony
-The nurse in a free clinic is caring for a 1-year-old girl and her single mother. Which
nursing intervention would most likely be needed initially? - -Assessing the child's
nutritional status
-The nurse is talking with an adopted child and the family. Which statement represents
"positive" adoption language? - -The birth mother was how old when your child was born?
-The public health nurse is aware suicide in teens is a significant health issue. Which child
is most at risk? - -The 17-year-old Native American/First Nations male adolescent
-The nurse is working with the 5-day-old baby boy of a young Jewish couple. What
comment is not culturally sensitive? - -"Oh, I see you have chosen not to have your baby
circumcised.
The nurse is running an education program for early grade-school children. Which topic
would address the number one cause of death for this age group? - -The importance of
crossing streets safely
-Pediatric nurses are developing more home care and community-based services for
children with chronic illnesses because: - -increasing numbers of children live with chronic
disabilities due to advances in health care that allow children with formerly fatal diseases
to survive.
-The nurse providing care to the fifth-grade child and his family reviews the nursing care
plan, noting that teaching about pubertal changes is one of the individualized interventions.
The nurse chooses not to address this. How should the nurse's action be evaluated? - -This
nurse has not met the standard of care that constitutes adequate nursing practice identified
in Pediatric Nursing: Scope of Standards and Practice.
-Which nursing activity requires the pediatric nurse to implement the ethical principle of
nonmaleficence? - -Weighing the potential harm caused by a child's chemotherapy with its
potential benefits
-The nurse is working in a pediatric facility whose mission statement strongly emphasizes
providing family-centered care. What nursing intervention best exemplifies this facility's
belief? - -The nurse plans a meeting with the parents, child, and case worker to discuss
care alternatives for the child
-The nurse is providing care to a 6-year-old child following surgery. The nurse asks the
child to rate the pain using the Faces of Pain scale. Which phase of the nursing process is
the nurse demonstrating? - -Assessment
-What was the primary goal for the establishment of the Children's Bureau? - -To improve
the standards of health care
-The nurse is caring for a 16-year-old female who has been brought to the clinic by her
mother seeking information about contraceptives. What action by the nurse will best
promote the client's autonomy? - -After a review of suitable contraceptive options, ask the
client which is of the greatest interest.
-A 17-year-old has been diagnosed with HIV. When developing the plan of care, which
initial action should be included? - -Notify the local health department of the individual's
HIV status.
-A nurse is preparing a presentation for a local parent group. The group consists of parents
with children younger than 4 years of age. As part of the presentation, the nurse plans to
,include teaching about preventing deaths in this age group. The nurse would most likely
focus on prevention activities primarily related to which area? - -Unintentional injuries
-The parent of an 11-year-old girl with an inoperable brain tumor confides to the nurse
that her daughter's physician is "pushing them" to convince their daughter to participate in
a controversial treatment that has a high risk for side effects. She further states that she
told him twice that they were not interested. What would be the nurse's best response to
this situation? - -Meet with the physician and disclose the concerns of the family; refer the
case to the institutional ethics committee if not resolved.
-A nurse is caring for a child. Which individual would the nurse identify as being primarily
responsible for initiating and coordinating health care? - -Parents
-The client is a 1-year-old girl from a low-income family presenting with a vitamin D
deficiency and anemia. What assistance program would you recommend to the child's
young mother? - -WIC
-Consent for urgent treatment is needed for a minor. The parents are unable to be at the
hospital. What action by the nurse constitutes informed consent? - -Telephone consent
with two witnesses listening simultaneously
-The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is
present. What would prevent informed consent from being obtained? - -Learning the
mother is not the custodial parent
-The nurse provides soy milk and fresh vegetables to a pregnant woman who is single, and
the mother of a toddler. Which federal program is the nurse implementing? - -WIC Food
Package Revised
-The nurse is caring for a 12-year-old child with a depressive disorder. When providing
teaching about the disorder and the importance of treatment to the child's parents, the
nurse accurately includes which teaching points? Select all that apply. - -"We need to
monitor your child's academic performance since this is often affected."
"It's important to be aware that having a depressive disorder as a child increases the
chance of mental health issues as an adult."
"Substance use disorder is common during the adolescent years if mental health issues are
present during childhood."
-A student nurse shares an interest in pediatric nursing. When discussing her thoughts
about pediatric nursing, which statements are consistent with the philosophies of pediatric
nursing care? Select all that apply. - -"The child should be included as much as possible in
the plan of care."
"I believe the family should be included in all aspects of the plan of care and treatment."
"Since health care can be scary for a child, it's important to make them feel secure."
, -A nurse is reviewing the medical record of a 3-year-old child who is brought to the clinic
for an evaluation. The nurse notes that the child is participating in a community Early Head
Start program. The nurse understands that this program focuses on which aspect? - -Child
development
-A nurse is providing care to a child and family recently admitted to the hospital. The nurse
would anticipate the need to obtain specialized informed consent in which situation? Select
all that apply. - --Before a bone marrow aspiration
-Prior to radiation therapy
-Before photographing the child
-The student nurse views a boy from a large extended family as poor because his father is
unemployed. Considering his family structure, in what way might he view the student
nurse as "poor"? - -You are unmarried and live alone.
-When a woman is admitted to the labor-and-delivery unit, her husband says he is going to
work and asks you to call when the baby is born. Your best response to this husband would
be to - -ask him if he knows that he can stay with his wife during labor.
-When caring for a woman in her sixth month of pregnancy, the client reports her plans to
nurse her baby for at least 2 to 3 years like the rest of the women in her family. Based upon
the nurse's knowledge, the nurse should: - -document her report but do nothing as this is a
cultural belief that should be respected.
-A client family recently moved to the United States. They live with their relatives, who
were already residing in the United States. This is an example of which family form? - -
Extended
-The nurse is caring for a Native American child. Which approach would be most
consistent with the culture? - -Discussing treatment as reestablishing harmony
-The nurse in a free clinic is caring for a 1-year-old girl and her single mother. Which
nursing intervention would most likely be needed initially? - -Assessing the child's
nutritional status
-The nurse is talking with an adopted child and the family. Which statement represents
"positive" adoption language? - -The birth mother was how old when your child was born?
-The public health nurse is aware suicide in teens is a significant health issue. Which child
is most at risk? - -The 17-year-old Native American/First Nations male adolescent
-The nurse is working with the 5-day-old baby boy of a young Jewish couple. What
comment is not culturally sensitive? - -"Oh, I see you have chosen not to have your baby
circumcised.
