PEDS EXAM 1 (TESTBANK) 150
QUESTIONS AND ANSWERS 2024
VERIFIED AND GRADED
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.
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
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
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