Peds Exam 1 (testbank)
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: 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
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.
3. 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.
, Peds Exam 1 (testbank)
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.
4. 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
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 nurses
perspective.
4. Encourage complementary beneficial cultural practices as primary
therapies.: 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 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
, Peds Exam 1 (testbank)
7. 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
8. 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 present.
Flushed with NaCl sol., IV gamma globins hung and infusing at 30cc/hr.
Child smiling and playful throughout the procedure. P. Potter, RN: 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
9. 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?
, Peds Exam 1 (testbank)
1. Nurse
2. Physician
3. Unit secretary
4. Social worker: 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 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
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. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None.: 3. That of assent.
12. 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
13. What is the pediatric nurses best defense against an accusation of
malpractice or negligence?
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: 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
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.
3. 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.
, Peds Exam 1 (testbank)
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.
4. 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
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 nurses
perspective.
4. Encourage complementary beneficial cultural practices as primary
therapies.: 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 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
, Peds Exam 1 (testbank)
7. 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
8. 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 present.
Flushed with NaCl sol., IV gamma globins hung and infusing at 30cc/hr.
Child smiling and playful throughout the procedure. P. Potter, RN: 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
9. 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?
, Peds Exam 1 (testbank)
1. Nurse
2. Physician
3. Unit secretary
4. Social worker: 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 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
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. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None.: 3. That of assent.
12. 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
13. What is the pediatric nurses best defense against an accusation of
malpractice or negligence?
