Interventions and Skill Exam Q&A 100%
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A 16-year-old girl comes to the pediatric clinic for information
on birth control. The nurse knows that before this young
woman can be examined, consent must be obtained from
which source?
a. Herself
b. Her mother
c. Court order
d. Legal guardian - Correct Answers ✅ANS: A
Contraceptive advice is one of the conditions that is
considered medically emancipated. The adolescent is able to
provide her own informed consent.
The nurse needs to take the blood pressure of a preschool
boy for the first time. What action would be best in gaining
his cooperation?
a. Tell him that this procedure will help him get well faster.
b. Take his blood pressure when a parent is there to comfort
him.
c. Explain to him how the blood flows through the arm and
why the blood pressure is important.
d. Permit him to handle the equipment and see the cuff
inflate and deflate before putting the cuff in place. - Correct
Answers ✅ANS: D
A preschooler is at the stage of preoperational thought. The
nurse needs to explain the procedure in simple terms and
allow the child to see how the equipment works. This will help
,NUR-227 PEDS TEST 1 Pediatric Nursing
Interventions and Skill Exam Q&A 100%
correct Answers- A+ verified
allay fears of bodily harm. Blood pressure measurement is
used for assessment, not therapy, and will not help him get
well faster. Although the parent will be able to support the
child, he may still be uncooperative. Also, the assessment of
blood pressure may be needed before the parent is available.
Explaining to a preschooler how the blood flows through the
artery and why the blood pressure is important is too
complex.
A 4-year-old girl is admitted to outpatient surgery for removal
of a cyst on her back. Her mother puts the hospital gown on
her, but the child is crying because she wants to leave on her
underpants. What is the most appropriate nursing action at
this time??
a. Allow her to wear her underpants.
b. Discuss with her mother why this is important to the child.
c. Ask her mother to explain to her why she cannot wear
them.
d. Explain in a kind, matter-of-fact manner that this is hospital
policy. - Correct Answers ✅ANS: A
It is appropriate for the child to leave her underpants on. If
necessary, the underpants can be removed after she has
received the initial medications for anesthesia. This allows
her some measure of control in this procedure. The mother
should not be required to make the child more upset. The
child is too young to understand what hospital policy means.
,NUR-227 PEDS TEST 1 Pediatric Nursing
Interventions and Skill Exam Q&A 100%
correct Answers- A+ verified
Using knowledge of child development, what approach is best
when preparing a toddler for a procedure?
a. Avoid asking the child to make choices.
b. Plan for a teaching session to last about 20 minutes.
c. Demonstrate on a doll how the procedure will be done.
d. Show the necessary equipment without allowing child to
handle it. - Correct Answers ✅ANS: C
Prepare toddlers for procedures by using play. Demonstrate
on a doll but avoid the childs 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.
The nurse is preparing a 9-year-old boy before obtaining a
blood specimen by venipuncture. The child tells the nurse he
does not want to lose his blood. What approach is best by the
nurse?
a. Explain that it will not be painful.
b. Suggest to him that he not worry about losing just a little
bit of blood.
c. Discuss with him how his body is always in the process of
making blood.
, NUR-227 PEDS TEST 1 Pediatric Nursing
Interventions and Skill Exam Q&A 100%
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d. Tell the child that he will not even need a Band-Aid
afterward because it is a simple procedure. - Correct
Answers ✅ANS: C
School-age children can understand that blood can be
replaced. Explain the procedure to him using correct scientific
and medical terminology. The venipuncture will be
uncomfortable. It is inappropriate to tell him it will not hurt.
Even though the nurse considers it a simple procedure, the
boy is concerned. Telling him not to worry will not allay his
fears.
A bone marrow biopsy will be performed on a 7-year-old girl.
She wants her mother to hold her during the procedure. How
should the nurse respond?
a. Holding your child is unsafe.
b. Holding may help your child relax.
c. Hospital policy prohibits this interaction.
d. Holding your child is unnecessary given the childs age. -
Correct Answers ✅ANS: B
The mothers preference for assisting, observing, or waiting
outside the room should be assessed, as well as the childs
preference for parental presence. The childs choice should be
respected. This will most likely help the child through the
procedure. If the mother and child agree, then the mother is
welcome to stay. Her familiarity with the procedure should be
assessed and potential safety risks identified (mother may sit