Deck 1: Perspectives of Pediatric Nursing

Question 1

The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which statement should the nurse include in the teaching?

A) Childhood obesity is the most common nutritional problem among children.
B) Immunization rates are the same among children of different races and ethnicity.
C) Dental caries is not a problem commonly seen in children since the introduction of fluoridated water.
D) Mental health problems are typically not seen in school-age children but may be diagnosed in adolescents.

Answer 1

Childhood obesity is the most common nutritional problem among children.

Question 2

The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to ensure atraumatic care?

A) Limit explanation of procedures because the child is preschool aged.
B) Ask that all family members leave the room when performing procedures.
C) Allow the child to choose the type of juice to drink with the administration of oral medications.
D) Explain that EMLA cream cannot be used for the morning lab draw because there is not time for it to be effective.

Answer 2

Allow the child to choose the type of juice to drink with the administration of oral medications.

Question 3

Which best describes signs and symptoms as part of a nursing diagnosis?

A) Description of potential risk factors
B) Identification of actual health problems
C) Human response to state of illness or health
D) Cues and clusters derived from patient assessment

Answer 3

Cues and clusters derived from patient assessment

Question 4

In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?

A) Suicide and cancer
B) Suicide and homicide
C) Drowning and cancer
D) Homicide and heart disease

Question 5

Evidence-based practice (EBP), a decision-making model, is best described as which?

A) Using information in textbooks to guide care
B) Combining knowledge with clinical experience and intuition
C) Using a professional code of ethics as a means for decision making
D) Gathering all evidence that applies to the child's health and family situation

Question 6

The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking?

A) Preschool
B) Young school age
C) Middle school age
D) Adolescent

Question 7

Which situation denotes a nontherapeutic nurse-patient-family relationship?

A) The nurse is planning to read a favorite fairy tale to a patient.
B) During shift report, the nurse is criticizing parents for not visiting their child.
C) The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
D) The nurse is working with a family to find ways to decrease the family's dependence on health care providers.

Question 8

The nurse is evaluating research studies according to the GRADE criteria and has determined the quality of evidence on the subject is moderate. Which type of evidence does this determination indicate?

A) Strong evidence from unbiased observational studies
B) Evidence from randomized clinical trials showed inconsistent results
C) Consistent evidence from well-performed randomized clinical trials
D) Evidence for at least one critical outcome from randomized clinical trials had serious flaws

Question 9

The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?

A) More deaths occur in males.
B) More deaths occur in females.
C) The pattern of deaths does not vary according to age and sex.
D) The pattern of deaths does not vary widely among different ethnic groups.

Question 10

The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?

A) Purposeful and goal directed
B) A simple developmental process
C) Based on deliberate and irrational thought
D) Assists individuals in guessing what is most appropriate

Question 11

The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?

A) The United States is ranked last among 27 countries.
B) The United States is ranked similar to 20 other developed countries.
C) The United States is ranked in the middle of 20 other developed countries.
D) The United States is ranked highest among 27 other industrialized countries.

Question 12

The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?

A) Preschoolers
B) Young school age
C) Middle school age
D) Late school age and adolescents

Question 13

An adolescent patient wants to make decisions about treatment options, along with his parents. Which moral value is the nurse displaying when supporting the adolescent to make decisions?

A) Justice
B) Autonomy
C) Beneficence
D) Nonmaleficence

Question 14

Which is the leading cause of death in infants younger than 1 year in the United States?

A) Congenital anomalies
B) Sudden infant death syndrome
C) Disorders related to short gestation and low birth weight
D) Maternal complications specific to the perinatal period

Question 15

Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should respond with which statement?

A) Family-centered care reduces the effect of cultural diversity on the family.
B) Family-centered care encourages family dependence on the health care system.
C) Family-centered care recognizes that the family is the constant in a child's life.
D) Family-centered care avoids expecting families to be part of the decision-making process.

Question 16

What is the major cause of death for children older than 1 year in the United States?

A) Heart disease
B) Childhood cancer
C) Unintentional injuries
D) Congenital anomalies

Question 17

The school nurse is evaluating the number of school-age children classified as obese. The nurse recognizes that the percentile of body mass index that classifies a child as obese is greater than which?

A) 50th percentile
B) 75th percentile
C) 80th percentile
D) 95th percentile

Question 18

The nurse is teaching parents about the types of behaviors children exhibit when living with chronic violence. Which statement made by the parents indicates further teaching is needed?

A) "We should watch for aggressive play."
B) "Our child may show lasting symptoms of stress."
C) "We know that our child will show caring behaviors."
D) "Our child may have difficulty concentrating in school."

Question 19

The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?

A) Female, multiple siblings, stable home life
B) Male, high activity level, stressful home life
C) Male, even tempered, history of previous injuries
D) Female, reacts negatively to new situations, no serious previous injuries

Question 20

What do mortality statistics describe?

A) Disease occurring regularly within a geographic location
B) The number of individuals who have died over a specific period
C) The prevalence of specific illness in the population at a particular time
D) Disease occurring in more than the number of expected cases in a community

Question 21

Which actions by the nurse demonstrate clinical reasoning? (Select all that apply.)

A) Basing decisions on intuition
B) Considering alternative action
C) Using formal and informal thinking to gather data
D) Giving deliberate thought to a patient's problem
E) Developing an outcome focused on optimum patient care

Question 22

Which should the nurse teach to parents regarding oral health of children? (Select all that apply.)

A) Fluoridated water should be used.
B) Early childhood caries is a preventable disease.
C) Dental caries is a rare chronic disease of childhood.
D) Dental hygiene should begin with the first tooth eruption.
E) Childhood caries does not happen until after 2 years of age.

Question 23

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

Development of a care plan

A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation

Question 24

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

Interventions are put into action

A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation

Question 25

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition.

The patient's right to be self-governing

A)Autonomy
B)Nonmaleficence
C)Beneficence
D)Justice

Question 26

Which are included in the evaluation step of the nursing process? (Select all that apply.)

A) Determination if the outcome has been met
B) Ascertaining if the plan requires modification
C) Establish priorities and selecting expected patient goals
D) Selecting alternative interventions if the outcome has not been met
E) Determining if a risk or actual dysfunctional health problem exists

Question 27

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

Problem identification

A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation

Question 28

Which responsibilities are included in the pediatric nurse's promotion of the health and well-being of children? (Select all that apply.)

A) Promoting disease prevention
B) Providing financial assistance
C) Providing support and counseling
D) Establishing lifelong friendships
E) Establishing a therapeutic relationship
F) Participating in ethical decision making

Question 29

The nurse is reviewing the Healthy People 2020 leading health indicators for a child health promotion program. Which are included in the leading health indicators? (Select all that apply.)

A) Decrease tobacco use.
B) Improve immunization rates.
C) Reduce incidences of cancer.
D) Increase access to health care.
E) Decrease the number of eating disorders.

Question 30

The school nurse is explaining to older school children that obesity increases the risk for which disorders? (Select all that apply.)

A) Asthma
B) Hypertension
C) Dyslipidemia
D) Irritable bowel disease
E) Altered glucose metabolism

Question 31

The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?

A) The average age of the nurses on the unit
B) The salary ranges for the nurses on the unit
C) The education and certification of the nurses on the unit
D) The number of nurses who have applied but were not hired for the unit

Question 32

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

Determines if the outcome was met

A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation

Question 33

Which actions by the nurse demonstrate overinvolvement with patients and their families? (Select all that apply.)

A) Buying clothes for the patients
B) Showing favoritism toward a patient
C) Focusing on technical aspects of care
D) Spending off-duty time with patients and families
E) Asking questions if families are not participating in care

Question 34

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition.

The obligation to promote the patient's well-being

A)Autonomy
B)Nonmaleficence
C)Beneficence
D)Justice

Question 35

The nurse is determining if a newborn is classified in the low birth weight (LBW) category of less than 2500
g. The newborn's weight is 5 lb, 4 oz. What is the newborn's weight in grams? Record your answer in a whole number.
__________________

Question 36

The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? (Select all that apply.)

A) Homelessness
B) Lower income
C) Migrant status
D) Working parents
E) Single parent status

Question 37

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition.

The obligation to minimize or prevent harm

A)Autonomy
B)Nonmaleficence
C)Beneficence
D)Justice

Question 38

The nurse is preparing to complete documentation on a patient's chart. Which should be included in documentation of nursing care? (Select all that apply.)

A) Reassessments
B) Incident reports
C) Initial assessments
D) Nursing care provided
E) Patient's response of care provided

Question 39

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

Purposeful collection of data

A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation

Question 40

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

Expected patient goals

A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation

Question 41

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition.

The concept of fairness

A)Autonomy
B)Nonmaleficence
C)Beneficence
D)Justice