Exam (elaborations)
Pediatrics Exam 1 Questions (Answers + Explanation) With Complete Solutions
- Course
- Institution
Pediatrics Exam 1 Questions (Answers + Explanation) With Complete Solutions
[Show more]
Content preview
Pediatrics Exam 1 Questions (Answers + Explanation) WithComplete Solutions
A 12-year-old child is admitted to the unit for a surgical
procedure. The child is accompanied by two parents and a
younger sibling. What is the level of involvement in treatment
decision making for this child?
1. Emancipated minor
2. Mature minor
3. Assent
4. None - Answer: 3
Explanation: Assent requires the ability to generally understand
what procedure and treatments are planned, to understand what
participation is required, and to make a statement of agreement
or disagreement with the plan. Usually, in Piaget's stage of
formal operations, 11- to 13-year-olds should be able to problem
solve using abstract concepts and are able to give valid assent
when parents sign the informed consent. An emancipated minor
is a self-supporting adolescent who is not subject to the control
of a parent or guardian. A mature minor is a 14- or 15-year-old
whom the state law designates as being able to understand
medical risks and who is thus permitted to give informed
consent for treatment.
Page Ref: 11, 12
A 12-year-old pediatric client is in need of surgery. Which
member of the healthcare team is legally responsible for
obtaining informed consent for an invasive procedure?
,1. Nurse
2. Physician
3. Unit secretary
4. Social worker - Answer: 2
Explanation: Informed consent is legal preauthorization for an
invasive procedure. It is the physician's legal responsibility to
obtain this, because it consists of an explanation about the
medical condition, a detailed description of treatment plans, the
expected benefits and risks related to the proposed treatment
plan, alternative treatment options, the client's questions, and the
guardian's right to refuse treatment.
Page Ref: 11, 12
A 2-month-old infant with bronchopulmonary dysplasia (BPD)
is being prepared for discharge from the neonatal intensive-care
unit (NICU). The infant will continue to receive oxygen via
nasal cannula at home. Prior to discharge, the home-health nurse
assesses the home. Which finding poses the greatest risk to this
infant?
1. Small toys strewn on the floor
2. A woodstove used for heating
3. A sibling who has an ear infection
4. Paint peeling on the walls - Answer: 2
Explanation: Assessment of the home environment is essential
prior to discharge of a medically fragile infant. The use of a
woodstove poses great risk to the infant who already has fragile
,lungs. Oxygen and woodstove heat will produce a flammable
reaction. Small toy pieces and paint peeling from the wall will
pose a choking risk to the older infant who is crawling. Ear
infections are not contagious.
Page Ref: 214, 215
A 27-month-old toddler who is in the pediatric office for a well-
child visit begins to cry the moment he is placed on the
examination table. The parent attempts to comfort the toddler;
however, nothing is effective. Which of these actions by the
nurse takes priority?
1. Instruct the father to hold the toddler down tightly to complete
the examination.
2. Allow the toddler to sit on the parent's lap and begin the
assessment.
3. Allow the toddler to stand on the floor until he stops crying.
4. Ask another nurse in the office to hold the toddler, because
the parent is not able to control the toddler's behavior. - Answer:
2
Explanation: Toddlers are most comfortable when sitting with
the parents. Much of the examination can be completed in this
way. Allowing the toddler to stand on the floor is inappropriate.
A nurse can assist if the parent is unable to hold the child during
the examination of the throat and ears to prevent injury from
movement.
Page Ref: 168, 169
, A 5-year-old sibling of a 9-year-old child with cystic fibrosis
tells the nurse, "I wish I had a breathing disease, too." The nurse
knows the parents strive to spend quality time with each child
and with both children together. What is the sibling currently
experiencing?
1. Jealousy
2. Isolation
3. Loneliness
4. Anger - Answer: 1
Explanation: The child with cystic fibrosis has something the
younger child does not have. Cystic fibrosis brings the affected
child more attention from others. Even if parents strive to spend
more time with siblings of ill children, the well-child will be
jealous because the situation can never be equal. The 5-year-old
child does not understand the complications of the disease and
only sees the 9-year-old child treated differently. Siblings of ill
children may experience loneliness, isolation, or anger; but the
child's comment does not support these feelings.
Page Ref: 248-249
A 7-year-old child is 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 the timing of key
events?
1. Healthy People 2020
2. Clinical pathways
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $27.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80796 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
