Peds NSG 325 Week 2 Exam
Questions With Correct Answers
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 - CORRECT ANSWERS 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 -
CORRECT ANSWERS 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 - CORRECT
ANSWERS 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 - CORRECT ANSWERS 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. - CORRECT ANSWERS
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 - CORRECT ANSWERS
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 - CORRECT
ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS Answer: 3
Questions With Correct Answers
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 - CORRECT ANSWERS 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 -
CORRECT ANSWERS 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 - CORRECT
ANSWERS 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 - CORRECT ANSWERS 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. - CORRECT ANSWERS
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 - CORRECT ANSWERS
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 - CORRECT
ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS Answer: 3
