PEDS test 1 Prep Exam Questions With Multiple Choices And Verified Answers.
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Course
PEDS.
Institution
PEDS.
The nurse is preparing a 4-year-old for surgery. Which technique is most appropriate?
1 Allow the child to handle safe medical equipment.
2 Limit the teaching to one 1-hour session.
3 Explain to the child that he or she will be put to sleep for the procedure.
4 Use an anatomically correct doll...
The nurse is preparing a 4-year-old for surgery. Which technique is most appropriate?
1 Allow the child to handle safe medical equipment.
2 Limit the teaching to one 1-hour session.
3 Explain to the child that he or she will be put to sleep for the procedure.
4 Use an anatomically correct doll to explain the procedure. - correct answer 1. The
preschool-age child learns well by participating in therapeutic play, such as handling safe medical
equipment. Terms such as "put to sleep" might be misinterpreted by the child. Anatomically correct
dolls are not appropriate for preschool-age children. The preschool-age child benefits from several short
teaching sessions.
The nurse notes that a 6-month-old infant who weighed 7 pounds at birth now weighs 15 pounds. What
is the nurse's evaluation of the infant's current weight?
1 The infant should be hospitalized for failure to thrive.
2 The infant needs weekly follow-up to assess weight.
3 The infant has been consuming more calories than needed.
4 The infant's weight is appropriate for age. - correct answer 4. The infant's birth
weight should double by 5 to 6 months; therefore, the weight of 15 pounds is appropriate. There is no
need for weekly weights in an infant who is thriving. There is no indication of failure to thrive, nor is
there any indication that the child has been consuming too many calories.
A 14-year-old has been diagnosed with insulin-dependent diabetes. Which technique is most
appropriate in order to facilitate coping with this diagnosis?
1 Warn the teen of the consequences of noncompliance.
2 Introduce the adolescent to another teenager who is successfully managing his or her own diabetes.
3 Give the adolescent specific instructions.
4 Encourage increased dependence on parents for several weeks. - correct answer 2
The adolescent benefits from meeting teens who are successfully managing a similar diagnosis. The
adolescent might not respond well to being instructed what to do. While the teen needs information
related to consequences of noncompliance, this should never be in the form of a warning. In addition,
this information would not facilitate coping with the diagnosis.
,The nurse notes that a 5-month-old has significant head lag when an attempt is made to pull the infant
to a sitting position. Based on this assessment, the nurse recognizes which of the following?
1 Needs further assessment and evaluation
2 Has some degree of mental retardation
3 Is developing normally
4 Has been neglected by the parents - correct answer 1. Head lag should not be
present in a 5-month-old. The nurse cannot conclude that the child has been neglected or has some
degree of mental retardation based on head lag alone. The child needs further assessment and
evaluation.
Parallel play, the action of children playing with similar objects side-by-side, occasionally trading toys
and words, is characteristic of which age of child?
1 Infant
2 Toddler
3 Preschooler
4 School age - correct answer 2. Parallel play is a characteristic of the toddler age
child. This playtime with other children helps toddlers develop social skills. Infants, preschoolers, and
school-age children do not exhibit parallel play.
While interviewing the parents of a 2-year-old female, the nurse notes the mother is pregnant. At the
end of the visit, the nurse decides to give a new pamphlet to the parents about car seat use for
newborns. What is this visit an example of?
1 Developmental screening
2 Primary preventative health maintenance
3 Tertiary preventative health maintenance
4 Secondary preventative health maintenance - correct answer 2. Providing
information about proper car seat use may decrease the opportunity for injury in a newborn, and is an
example of primary preventative health maintenance. The secondary level of prevention is focused on
diagnosis of a problem, usually medical in nature, in order to address it and make a plan of care. The
tertiary level is related to restoring impaired functioning to an expected level, such as in a rehabilitation
situation. This is an example of education, not developmental screening to elicit data.
, During a health supervision visit, the nurse is attempting to develop a partnering relationship with the
child and family. Initially, the nurse should do which of the following?
1 Discuss with the family a plan to address the child's health needs
2 Set goals for the family related to the child's health
3 Tell the family what the child should be doing physically for the age level
4 Tell the family that the healthcare provider will answer any questions they might have related to their
child's growth and development - correct answer 1. Discussing and developing a
plan with the family will actively involve the family members and will build more trust, rather than
telling them what they should do. The nurse should not set the goals without family involvement. Not all
children develop each skill at the same age. Telling the family what the child should be doing can cause
feelings of fear, frustration, and concern for the family if the child is not doing all of the activities listed
by the nurse. Just telling the healthcare provider will not allow the nurse the opportunity to provide
teaching and will not allow for the development of a trusting relationship with the family.
While waiting for a physical exam from the healthcare provider, the mother of a 4-month-old female
begins changing a soiled diaper. The nurse notes a reddened diaper area on the infant. Which of the
following interventions would be most appropriate in this situation?
1 Say nothing, as the mother appears comfortable with diaper care.
2 Ask the mother what care she provides to the diaper area during routine diaper changes.
3 Report the red area to the healthcare provider.
4 Give the mother a pamphlet on diaper rashes as she leaves the office. - correct answer
2. Discussing the care with the mother generally provides an opportunity for the nurse to ask detailed
assessment questions about the red area and to provide information on a health maintenance activity
for the infant. This nonthreatening method would allow the nurse to emphasize the positive care
methods being provided, which would promote confidence in the mother and a level of trust with the
nurse. A "teachable moment" has presented itself during the interview stage of the health visit. The
other choices do not provide an opportunity for detailed assessment and follow-up teaching by the
nurse regarding the infant's red diaper area.
As part of the assessment process, the pediatric nurse often utilizes a standardized tool for a
developmental screening. Which nursing action is appropriate related to the use of a developmental
screening tool?
1 Practice administering the screening tool.
2 Have the parent administer the screening tool.
3 Select the tool the nurse is most comfortable using.
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