Deck 1: Child Health Nursing: Concepts, Roles, and Issues

Question 1

Despite the availability of the Children's Health Insurance Program (CHIP), families often fail to obtain coverage for eligible children because:

A)They do not see the importance of insurance coverage.
B)Families do not have adequate time to complete the enrollment process.
C)They do not know their child is eligible.
D)Parents do not value medical interventions for their children.

Answer 1

They do not know their child is eligible.

Question 2

When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:

A)Unintentional injury."
B)Infectious disease."
C)Congenital anomalies."
D)Cancer."

Answer 2

Unintentional injury."

Question 3

The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to:

A)Diagnose a six-year-old with diversional activity deficit related to placement in isolation.
B)Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery.
C)Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic.
D)Provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options.

Answer 3

Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic.

Question 4

Following a traumatic birth, an infant is admitted to the neonatal intensive care unit. When the grandparents arrive at the hospital, they the nurse caring for the baby about its condition and plan of care. The nurse who provides this information without permission from the parents would be committing:

A)Negligence
B)A breach of privacy
C)Malpractice
D)A breach of ethics

Question 5

A 12-year-old pediatric client is in need of surgery. The health care member who is legally responsible for obtaining informed consent for an invasive procedure is the:

A)Nurse.
B)Social worker.
C)Unit secretary.
D)Physician.

Question 6

All of the following adolescents are in the emergency room for treatment. Which adolescent would be an emancipated minor?

A)The 15-year-old adolescent who disagrees with the parents in regard to the medical plan of care
B)The 14-year-old adolescent who understands the risks and benefits of treatment
C)The 17-year-old adolescent who is self-supporting and maintains her own apartment
D)The 16-year-old adolescent who ran away from home and is living with a friend

Question 7

The role of the registered nurse as a nurse educator is to:

A)Provide primary care for healthy children.
B)Assist the family in making informed decisions by providing information about the pros and cons of the treatment plan.
C)Assist the primary care nurse with procedures requiring advanced practice skills.
D)Communicate with the hospitalized school-aged child's classroom teacher to assist the child in achieving classroom goals.

Question 8

While changing the diaper on a newborn in the presence of the mother, the nurse notes a belly binder wrapped around the umbilical cord. When questioned, the mother states this is the way the umbilical area is cared for in her culture. The nurse should:

A)Accept this practice as a cultural variation and allow the mother to care for the umbilicus.
B)Explain to the mother the risks associated with belly binders and encourage her to remove it.
C)Remove the belly binder and discard it.
D)Replace the belly binder with a coin as a safer cultural practice.

Question 9

The nursing supervisor is observing the staff on the pediatric unit. Which nurse is providing family-centered care?

A)The nurse who delays morning care until after the family has visited the child
B)The nurse who suggests the mother take a break and get breakfast while the nurse changes the child's dressings
C)While admitting a new client, the nurse explains the visitation rules of the unit to the parents and grandparents.
D)During discharge planning, the nurse recognizes the mother is unable to perform wound care on the client, so the nurse works with the family to determine which family member will be available to meet this child's health care needs.

Question 10

A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines are in place to delineate which pediatrics clients must give assent for participation in research trials. Based upon the client's age, the nurse would seek assent from which children? Standard Text: Select all that apply.

A)The 13-year-old client beginning participation in a research program for ADHD treatments
B)The precocious four-year-old starting as a cystic fibrosis research study participant
C)The 10-year-old starting in an investigative study for clients with precocious puberty
D)The seven-year-old leukemia client electing to receive a newly developed medication being researched

Question 11

With regard to infant mortality statistics, which nursing intervention would be most effective in decreasing post-neonatal mortality?

A)Teaching parents about "baby-proofing" their home
B)Educating parents on acceptable feeding techniques
C)Providing support for first-time mothers
D)Educating parents on the importance of positioning the baby on his back whenever sleeping

Question 12

A child is being prepared for an invasive procedure in the presence of the child's babysitter. The single mother of the child has legal custody but is not present. After details of the procedure are explained, the legal informed consent for treatment on behalf of a minor child will be obtained from:

A)The divorced parent without custody.
B)The babysitter with written proxy consent.
C)A grandparent who lives in the home with the child.
D)The cohabitating unmarried boyfriend of the child's mother.

Question 13

A 12-year-old child is being admitted to the unit for a surgical procedure. The child is accompanied by two parents and a younger sibling. The level of involvement in treatment decision making for this child is:

A)That of a mature minor.
B)That of an emancipated minor.
C)That of assent.
D)None.

Question 14

The pediatric nurse's best defense against an accusation of malpractice or negligence is that the nurse:

A)Is a nurse practitioner or clinical nurse specialist.
B)Met the Society of Pediatric Nurses standards of practice.
C)Was acting on the advice of the nurse manager.
D)Followed the physician's written orders.

Question 15

A nurse is examining different nursing roles. Which best illustrates an advanced practice nursing role?

A)A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk children
B)A clinical nurse specialist working as a staff nurse on a medical-surgical pediatric unit
C)A registered nurse who is the circulating nurse in surgery
D)A registered nurse who is the manager of a large pediatric unit

Question 16

A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child's recovery. Which information tool would be most useful in answering a parent's questions about timing of key events?

A)Healthy People 2020
B)National clinical practice guidelines
C)Child mortality statistics
D)Critical clinical pathways

Question 17

Despite the availability of Children's Health Insurance Programs (CHIP), many eligible children are not enrolled. The nursing intervention that can best help eligible children to become enrolled is:

A)Educating the family about the need for keeping regular well-child visit appointments.
B)Assessing details of the family's income and expenditures.
C)Limiting costly, unnecessary duplication of services through case management.
D)Advocating for the child by encouraging the family to investigate CHIP eligibility.

Question 18

With regard to child mortality statistics, which nursing intervention would be most effective in decreasing mortality from unintentional injury?

A)Teaching children about dangers of contact sports
B)Encouraging parents to obtain genetic counseling
C)Educating parents about the benefits of immunizations
D)Teaching parents about proper use of vehicle restraint seats

Question 19

The telephone triage nurse at a pediatric clinic knows that each call is important. However, recognizing that infant deaths are most frequent in this group, the nurse must be extra attentive during the call from the parent of an infant who is:

A)Between six and eight months old.
B)Of a Native American family.
C)Of a non-Hispanic black family.
D)Younger than three weeks old.

Question 20

A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most accurately and correctly contains all the required parts for a narrative entry is the entry that reads:

A)"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 mother's arms following catheter removal.M.May RN"
B)"1/9/05 2 p.m.g-tube accessed, positive air gurgle over stomach: 5 ml air injected, 10 ml residual stomach contents returned to stomach, PediaSure formula hung on Kangaroo pump infusing at 60 ml/hr for 1 hour.Child grunting intermittently throughout procedure.K.Earnst RN"
C)"Feb.'05 Portacath assessed with Huber needle.Blood return present.Flushed with NaCl sol., IV gamma globulins hung and infusing at 30 ml/hr.Child smiling and playful throughout the procedure.P.Potter, RN"
D)"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.F.Luck RN"

Question 21

While working on the pediatric unit, the nurse recognizes a neighbor whose child has been admitted to the hospital pediatric intensive care. Out of curiosity, the nurse visits the PICU and reviews the child's chart for information about the child's diagnosis. This nurse:

A)Has violated HIPAA laws.
B)Was working within the legal limitations of his/her job.
C)Was not guilty of violating HIPAA laws unless the nurse shares the information with someone outside the hospital.
D)Was working as a member of the health care team to provide family-centered nursing.

Question 22

A 14-month-old child is admitted to the hospital. During the admission process, the nurse determines that the child and family are visiting this country from a foreign country. The nurse is unaware of the cultural traditions and values of that country. How can the nurse best provide culturally competent health care?

A)Read about that country on the internet.
B)Ask the family members how care would be provided in their own country.
C)Ask a nurse who has visited the child's home country about life in that country.
D)Ask a coworker who comes from the same region about customs and cultures in their country.

Question 23

A registered nurse has been asked to join the ethics committee of the hospital. In considering this appointment, the nurse would recognize that the committee might be considering ethical situations including: Standard Text: Select all that apply.

A)Issuance of a "Do Not Resuscitate" (allow natural death) order on a child who has been determined brain dead against the wishes of the parents.
B)Determining if a minor child who disagrees with the parents about the treatment plan can make an informed decision.
C)Determining if a non-salvageable newborn can be used as an organ donor.
D)Investigating a medication error.
E)Consulting and intervening when parents are not in agreement on decisions of health care for their child.

Question 24

The rationale for nurses utilizing nursing intervention classifications (NICs) when developing a nursing care plan for a child on the unit is to:

A)Improve communication among nurses working with the child.
B)Assist medical records in documenting care provided for insurance purposes.
C)Aid the nursing supervisor in evaluating the nursing staff.
D)Coordinate medical orders with nursing orders.