PEDS FINAL EXAM2024-2025 |COMPLETE QUESTIONS AND
CORRECT ANSWERSWITH RATIONALES (VERIFIED ANSWERS )
ALREADY GRADED A+.
The nurse is caring for a pediatric client diagnosed with eczema.
Which topical medication order does the nurse anticipate for this
client?
1. Corticosteroids
2. Retinoids
3. Antifungals
4. Antibacterials - ANSWER -1
Rationale 1: Topical corticosteroids are used to reduce inflammation
when the child has eczema. Topical retinoids are used for acne.
Topical antifungals are used for dermatophytoses. Topical
antibacterials would be used for problems such as burns.
The nurse is teaching a group of adolescents about care for acne
vulgaris. Which interventions will the nurse include in the teaching
session?
Standard Text: Select all that apply.
1. Wash skin with mild soap and water twice a day.
2. Use astringents and vigorous scrubbing.
3. Avoid picking or squeezing the lesions.
4. Apply tretinoin (Retin-A) liberally.
5. Avoid sun exposure if on tetracycline. - ANSWER -1,3,5
,Rationale 1: The adolescent should be taught to wash skin with mild
soap and water twice a day, to avoid picking or squeezing acne
lesions, and to avoid sun exposure if on tetracycline. Using
astringents and scrubbing vigorously can exacerbate acne. Tretinoin
(Retin-A) should be applied sparingly (pea-size doses).
A pediatric client sustains a minor burn. When teaching the family the
treatment for this burn, the nurse would teach that the clients diet
should be high in which substance?
1. Fats
2. Protein
3. Minerals
4. Carbohydrates - ANSWER -2
Rationale 1: Parents should be taught that management of a minor
burn requires a high-calorie, high-protein diet. This is necessary to
meet the increased nutritional requirements of healing.
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?
Standard Text: 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 - ANSWER -
, 2,3,4 Rationale 1: Interventions that will enhance family-centered
care for this client and family include asking the adolescent to be
an active member of care by making food choices, allowing the
family to pray each day with the adolescent, and encouraging the
adolescents friends to visit during visiting hours. These
interventions each promote the concepts of family-centered care.
Making all decisions for the adolescent and family and leaving all
questions for the healthcare provider do not promote the concepts
of family-centered care.
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 - ANSWER -4
Rationale 1: The benefit of employing the family-centered-care
philosophy is that the priorities and needs as seen by the family are
addressed as a partnership between a family and a nurse develops. In
family-focused care, the healthcare worker assumes the role of
professional expert while missing the multiple contributions the
family brings to the healthcare meeting.
, The nurse of an outpatient clinic is sitting with the parents while their
adolescent goes for a test. The parents are complaining about their
childs behavior. Which statement by the nurse fosters family-centered
communication?
1. I agree with you, discipline is an important part of parenting. 2.
I know just how you feel. I had the same experience with my
children.
3. You are so right. Adolescents function in the me-first mode all
the time.
4. Tell me what concerns you about your childs behavior. -
ANSWER 4
The parents of a critically injured child wish to stay in the room while
the child is receiving emergency care. Which action by the nurse is
the most appropriate?
1. Escort the parents to the waiting room and assure them that they
can see their child soon.
2. Allow the parents to stay with the child.
3. Ask the physician if the parents can stay with the child.
4. Tell the parents that they do not need to stay with the child. -
ANSWER -2
The nurse is providing care to a preschool-age client who was
admitted to the medical surgical unit after an acute asthma attack.
Which interventions foster a family-centered focus to client care?
Standard Text: Select all that apply.
1. Discussing rooming in with the parents of the client
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